Individual
BRADLEY SCOTT ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6800 PARAGON PL STE 420, RICHMOND, VA 23230-1652
(804) 239-7688
Mailing address
1012 BROAD BRANCH LN, RICHMOND, VA 23238-6452
(804) 592-6344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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