Individual
MISS CRYSTAL MARIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
315 HUDSON ST FL 2, NEW YORK, NY 10013-1040
(212) 366-0066
Mailing address
257 LEXINGTON AVE APT 1R, BROOKLYN, NY 11216-1175
(347) 853-3027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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