Individual provider · Type 1 NPI
Michael-David Robert Bradford, LPC
Professional Counselor · Hurst, TX
NPI number
1114010451
Active
Practice location
3045 Trinity Lakes Dr
Hurst, TX 76053-7458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 20103 (TX) |
Professional Counselor: Definition to come...
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About NPI 1114010451
Michael-David Robert Bradford, LPC's National Provider Identifier is 1114010451, issued on Sep 30, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hurst, TX. The record was last updated on Aug 31, 2010.