Individual provider · Type 1 NPI

Brad Illian, MA, MLADC

Addiction (Substance Use Disorder) Counselor · Concord, NH

NPI number 1619691235 Active

Practice location

112 S State St
Concord, NH 03301-3528

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1619691235

Brad Illian, MA, MLADC's National Provider Identifier is 1619691235, issued on Sep 27, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Concord, NH. The record was last updated on Jun 28, 2024.