Individual
BRADLEY J SPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
8028 RITCHIE HIGHWAY ST. 312, PASADENA, MD 21122
(410) 590-9011
Mailing address
8028 RITCHIE HIGHWAY ST. 312, PASADENA, MD 21122
(410) 590-9011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7195
MD
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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