Individual
MS. DENISE ELECIA LYN-BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
156 HAYES CIRCLE, REX, GA 30273
(404) 536-8813
(678) 669-1815
Mailing address
P.O. BOX 210, MONROE, GA 30655
(404) 536-8813
(675) 669-1815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC007638
GA
101YP2500X
Professional Counselor
Primary
LPC007638
GA
Other
Enumeration date
05/07/2014
Last updated
06/04/2024
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