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Individual

MRS. DANIELLE H BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC, LCPC

Contact information

Practice address
1983 CANYON RD. S., STE. 100A, MELBA, ID 83641-0050
(425) 359-6895
Mailing address
PO BOX B, MELBA, ID 83641-0050
(425) 359-6895

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60916576
WA
101YP2500X
Professional Counselor
LCPC-7323
ID

Other

Enumeration date
09/18/2014
Last updated
09/13/2021
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