Individual
NICOLAS R BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHRT-1, OQMHP-PNMI
Contact information
Practice address
127 PALMER ST, CALAIS, ME 04619-1300
(207) 454-0775
(207) 454-0232
Mailing address
180 ACADEMY ST STE 3, PRESQUE ISLE, ME 04769-3183
(207) 554-2352
(207) 532-2351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
02/02/2021
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