Individual
MELISSA ANN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7601 S REDWOOD RD # E, WEST JORDAN, UT 84084-4007
(801) 233-8670
(801) 233-8682
Mailing address
6885 S REDWOOD RD, APT. 112, WEST JORDAN, UT 84084-2451
(801) 979-3062
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7098630-6004
UT
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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