Individual
ALYSSA R BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31772 CASINO DR STE B, LAKE ELSINORE, CA 92530-4502
(951) 977-0327
Mailing address
962 MONARCH ST APT D, HEMET, CA 92543-7273
(951) 977-0327
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
106426
CA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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