Individual
MRS. SHERRY J BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1067 E BRANDON BLVD, BRANDON, FL 33511-5515
(813) 548-1166
Mailing address
1067 E BRANDON BLVD, BRANDON, FL 33511-5515
(813) 548-1166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SW14675
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/12/2012
Last updated
03/23/2022
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