Individual
MR. JOHN W BRADNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
933 HARTFORD TURNPIKE, VERNON, CT 06066
(860) 872-7696
Mailing address
26 CONGRESS STREET, APT 405, HARTFORD, CT 06114
(860) 216-0161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00756
CT
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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