Individual
ALISHA M BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 W GORDON TER, #318, CHICAGO, IL 60613-2274
(773) 750-8108
Mailing address
711 W GORDON TER, #318, CHICAGO, IL 60613-2274
(773) 750-8108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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