Individual
DANIESHA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC,NCC
Contact information
Practice address
771 ROUTE 70 E STE D100, MARLTON, NJ 08053-2356
(609) 458-2854
Mailing address
67 PINEWOOD LN, SICKLERVILLE, NJ 08081-2042
(609) 458-2854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00715900
NJ
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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