Individual
PATRICIA BRADBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, MLADC, CAGS
Contact information
Practice address
470 MAIN ST, MASHPEE, MA 02649-2047
(508) 760-1475
Mailing address
98 WESTCLIFF DR, PLYMOUTH, MA 02360-1477
(603) 801-5332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0906
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
MLADC
NH
Other
Enumeration date
01/09/2015
Last updated
03/17/2018
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