Individual
DATOYA R BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 593-5300
Mailing address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 593-5300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
21744
CA
101YP2500X
Professional Counselor
7388
CA
101YP2500X
Professional Counselor
—
—
225400000X
Rehabilitation Practitioner
—
CA
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
—
CA
Other
Enumeration date
01/09/2012
Last updated
01/15/2026
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