Individual
OLIVER GILCHRIST BRADEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
65 INDIA ST, PORTLAND, ME 04101-4209
(207) 775-4790
(207) 775-5231
Mailing address
65 INDIA ST, PORTLAND, ME 04101-4209
(207) 775-4790
(207) 775-5231
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC5194
ME
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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