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Individual

ALLISON BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC, PHD

Contact information

Practice address
160 BENMONT AVE, BENNINGTON, VT 05201-1873
(518) 253-2298
Mailing address
PO BOX 821, BENNINGTON, VT 05201-0821
(518) 253-2298

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
011577
NY
101YM0800X
Mental Health Counselor
Primary
068.0134285
VT
101YM0800X
Mental Health Counselor

Other

Enumeration date
08/02/2018
Last updated
05/15/2023
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