Individual
BRADLEY CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC,CRC, NCC
Contact information
Practice address
12155 FIELDING PL, WALDORF, MD 20601-4720
(202) 867-4977
Mailing address
12155 FIELDING PL, WALDORF, MD 20601-4720
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9177
SC
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
02/20/2023
Last updated
09/15/2023
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