Individual
MR. BRADLEY KYLE AARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
150 CORA DR, BATON ROUGE, LA 70815-4201
(225) 802-2896
(225) 343-5300
Mailing address
762 WATERTON CT, BATON ROUGE, LA 70819-3353
(225) 802-2896
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5915
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NO INSURANCE CURRENTLY
LA
Enumeration date
09/29/2018
Last updated
09/29/2018
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