Individual
DANIEL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PLMFT
Contact information
Practice address
130 CALO LN, LAKE OZARK, MO 65049-9208
(573) 745-5253
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2025052875
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2025052875
LICENSE
MO
Enumeration date
12/29/2025
Last updated
12/29/2025
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