Individual
GLEN ROBERT HARDBECK BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LGPC (DC)
Contact information
Practice address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(202) 483-8196
Mailing address
1835 7TH ST NW # 230, WASHINGTON, DC 20001-3107
(816) 286-6555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC200001455
DC
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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