Individual
ALICIA RENAE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCJP
Contact information
Practice address
537 CHICAGO AVE, KALAMAZOO, MI 49048-2021
(269) 903-0539
Mailing address
537 CHICAGO AVE, KALAMAZOO, MI 49048-2021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SA0390128
MI
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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