Individual
BRADLEY OGLETREE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 HILTON AVE STE 225, COLUMBUS, GA 31904-7373
(706) 464-1300
Mailing address
395 DOGWOOD DR, COLUMBUS, GA 31907-5434
(706) 687-6701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007106
GA
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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