Individual
ADELE VICTORIA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
10 PLOSS LN, GOFFSTOWN, NH 03045-2632
(603) 497-2410
(603) 497-2410
Mailing address
10 PLOSS LN, GOFFSTOWN, NH 03045-2632
(603) 497-2410
(603) 497-2410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
353
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14YOO1384NH01
ANTHEM BC/BS PIN
NH
Enumeration date
10/11/2006
Last updated
07/08/2007
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