Individual
BRADLEY R HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MBA
Contact information
Practice address
175 KING OF PRUSSIA RD, RADNOR, PA 19087-4521
(610) 644-6464
(610) 981-6078
Mailing address
680 AMERICAN AVE, SUITE 302, KING OF PRUSSIA, PA 19406-4023
(610) 644-6464
(610) 981-6078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC008645
PA
Other
Enumeration date
09/03/2013
Last updated
02/23/2016
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