Individual
MRS. LAUREN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CD(DONA)
Contact information
Practice address
212 CRESCENT DR, LONGVIEW, TX 75602-1516
(903) 738-3257
Mailing address
212 CRESCENT DR, LONGVIEW, TX 75602-1516
(903) 738-3257
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
70966
TX
374J00000X
Doula
12408
TX
Other
Enumeration date
09/21/2018
Last updated
09/27/2018
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