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Individual

MICHAEL BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCMHC, MLADC

Contact information

Practice address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
Mailing address
2 WALL ST STE 300, MANCHESTER, NH 03101-1518
(603) 668-4111

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0260
NH
101YM0800X
Mental Health Counselor
Primary
109
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020258994-13
HARVARD PILGRIM
NH
01
1039161
CIGNA
NH
01
3003541Y0NH01
BLUE CROSS
NH
Enumeration date
11/01/2006
Last updated
03/22/2021
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