Individual
BRIANA E BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT3869
Contact information
Practice address
12641 NEWFIELD DR, ORLANDO, FL 32837-7433
(321) 226-8882
Mailing address
12641 NEWFIELD DR, ORLANDO, FL 32837-7433
(407) 432-6582
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MT3869
FL
101YM0800X
Mental Health Counselor
IMT2664
FL
Other
Enumeration date
09/13/2019
Last updated
11/19/2021
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