Individual
MARY BRADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3952 SAN FELIPE RD, SANTA FE, NM 87507-8073
(443) 569-2905
(505) 471-8575
Mailing address
7 MONTANA VIS, SANTA FE, NM 87507-0148
(443) 569-2905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0211161
NM
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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