Individual
ELIZABETH A BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
620 S CASCADE AVE STE B, COLORADO SPRINGS, CO 80903-4039
(719) 331-2705
Mailing address
620 S CASCADE AVE STE B, COLORADO SPRINGS, CO 80903-4039
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0011184
CO
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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