Individual provider · Type 1 NPI
Mark Edward Bradley, CLINICIAN
Mental Health Counselor · Fitchburg, MA
NPI number
1457648693
Active
Practice location
63 Fairmount St
Fitchburg, MA 01420-7613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1457648693
Mark Edward Bradley, CLINICIAN's National Provider Identifier is 1457648693, issued on Jul 8, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fitchburg, MA. The record was last updated on Jul 8, 2011.