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Individual

BRADLEY JOHN LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 BERNARD ST, BAKERSFIELD, CA 93305-3020
(661) 325-1817
(661) 325-3929
Mailing address
PO BOX 3218, BAKERSFIELD, CA 93385-3218
(661) 325-1817
(661) 325-3929

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R1376270120
CCAPP
Enumeration date
02/04/2020
Last updated
02/04/2020
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