Individual
MR. BRUCE BRADLEY-GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, ATR
Contact information
Practice address
35 STATE ST, NORTHAMPTON, MA 01060-3035
(413) 931-5811
Mailing address
172 OVERLOOK DR, FLORENCE, MA 01062-3529
(413) 320-7939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3806
MA
221700000X
Art Therapist
Primary
12301
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12301
AMERICAN ART THERAPY ASSOCIATION REGISTRATION
—
01
—
3806
LICENSED MENTAL HEALTH COUNSELOR (LMHC) MA
MA
Enumeration date
06/17/2018
Last updated
06/17/2018
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