Individual
MRS. KYMBERLY YVETTE BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1162 OLIVER RD STE 4, MONROE, LA 71201-5757
(318) 340-1535
(318) 340-1539
Mailing address
PO BOX 5093, MONROE, LA 71211-5093
(318) 669-1061
(318) 325-5385
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
232194
NC
101YP2500X
Professional Counselor
Primary
3686
LA
Other
Enumeration date
10/20/2010
Last updated
09/03/2024
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