Individual
MR. MATTHEW HENRY BRADLEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW , LMFT
Contact information
Practice address
470 TWIN BROOK DR, WAYNESVILLE, NC 28785-8348
(828) 926-5591
Mailing address
470 TWIN BROOK DR, WAYNESVILLE, NC 28785-8348
(828) 926-5591
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
996
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
996
BCBS
NC
Enumeration date
06/07/2017
Last updated
07/21/2022
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