Individual
KAMILAH BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6681 SORENSEN PKWY, OMAHA, NE 68152-2139
(402) 932-8884
Mailing address
10524 EVANS PLZ APT 717, OMAHA, NE 68134-3456
(402) 609-6837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45-3960708
—
NE
Enumeration date
04/10/2015
Last updated
04/10/2015
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