Individual provider · Type 1 NPI
Edward G. Bradley Jr., LPC
Mental Health Counselor · Muskogee, OK
NPI number
1033466503
Active
Practice location
223 N 3rd St, Suite 104
Muskogee, OK 74401-6609
Fax (918) 686-8881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 478 (OK) |
Mental Health Counselor: Definition to come...
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About NPI 1033466503
Edward G. Bradley Jr., LPC's National Provider Identifier is 1033466503, issued on Aug 14, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Muskogee, OK. The record was last updated on Aug 14, 2012.