Individual
BRADLEY MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, CADC
Contact information
Practice address
1211 VINE ST, WEST DES MOINES, IA 50265-4472
(515) 809-1036
Mailing address
1211 VINE ST, WEST DES MOINES, IA 50265-4472
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10137
IA
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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