Individual
BRADLEY E HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
3111 W JACKSON ST, MUNCIE, IN 47304-4371
(765) 284-0879
(765) 284-1480
Mailing address
3111 W JACKSON ST, MUNCIE, IN 47304-4371
(765) 284-0879
(765) 284-1480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000134A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000210036
ANTHEM BCBS
IN
Enumeration date
08/17/2006
Last updated
07/08/2007
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