Individual
PATRICIA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2501 DAVE WARD DR, SUITE A5, CONWAY, AR 72034-6091
(501) 329-7727
Mailing address
2501 DAVE WARD DR, SUITE A5, CONWAY, AR 72034-6091
(501) 329-7727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PO608045
AR
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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