Individual
MEGAN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1330
(606) 638-0938
Mailing address
PO BOX 726, LOUISA, KY 41230-0726
(606) 225-2709
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
295477
KY
Other
Enumeration date
08/02/2019
Last updated
11/05/2024
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