Individual
DANIELLE BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10600 S LOWE AVE, CHICAGO, IL 60628-2312
(773) 383-6693
Mailing address
10600 S LOWE AVE, CHICAGO, IL 60628-2312
(773) 383-6693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150.117204
IL
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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