Individual provider · Type 1 NPI

Bradley Dale Marine, LPCC

Professional Counselor · Louisville, KY

NPI number 1528449170 Active

Practice location

12701 Townepark Way, Barkley Bldg. Ste 200
Louisville, KY 40243-2384

Call (502) 254-8880 Map

Fax (502) 254-8870

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPCPCC00218860 (KY)

Professional Counselor: Definition to come...

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About NPI 1528449170

Bradley Dale Marine, LPCC's National Provider Identifier is 1528449170, issued on Jun 9, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Louisville, KY. The record was last updated on Jun 9, 2015.