Individual
MR. BRADLEY ROBERT KUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
710 BURBANK ST STE C, BROOMFIELD, CO 80020-1658
(303) 907-3475
Mailing address
710 BURBANK ST STE C, BROOMFIELD, CO 80020-1658
(303) 907-3475
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
585
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86602560
—
CO
Enumeration date
04/12/2007
Last updated
01/07/2009
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