Individual
NICOLE GENEVIEVE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1625 LOS ALAMOS AVE SW, ALBUQUERQUE, NM 87104-1121
(505) 261-8453
Mailing address
1625 LOS ALAMOS AVE SW, ALBUQUERQUE, NM 87104-1121
(505) 261-8453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
0014529
CO
Other
Enumeration date
06/29/2010
Last updated
03/26/2026
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