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Individual

MR. CHARLES E. BRADLEY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.C., L.M.F.T.

Contact information

Practice address
135 CROYDON AVE, SUITE A, BATON ROUGE, LA 70806-4502
(225) 928-8557
(225) 928-8923
Mailing address
135 CROYDON AVE, SUITE A, BATON ROUGE, LA 70806-4502
(225) 928-8557
(225) 928-8923

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
11544
TX
101YP2500X
Professional Counselor
1999
LA
106H00000X
Marriage & Family Therapist
Primary
2707
TX
106H00000X
Marriage & Family Therapist
MFT 44
LA

Other

Enumeration date
05/04/2007
Last updated
09/11/2025
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