Individual
MRS. ASHLY NICOLE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
484 MADDOX RD, GLADYS, VA 24554-3030
(434) 435-1483
Mailing address
1012 LITTLE BEAR LN, SPOUT SPRING, VA 24593-3013
(434) 609-0386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010344
VA
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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