Individual
BRADLY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMH
Contact information
Practice address
3084 WESTFORK DR, BATON ROUGE, LA 70816-2254
(225) 678-4725
(225) 678-4725
Mailing address
4944 S SHERWOOD FOREST BLVD APT 110, BATON ROUGE, LA 70816-4611
(225) 678-4725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BB210
—
LA
Enumeration date
06/04/2017
Last updated
06/04/2017
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