Individual
CRYSTAL LYNN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21770 FDR BLVD., LEXINGTON PARK, MD 20653
(301) 997-1300
(301) 866-9182
Mailing address
325 WILLIAMS RD, PRINCE FREDERICK, MD 20678-3541
(443) 684-8320
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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