Individual provider · Type 1 NPI

William Raymond Bradley

Mental Health Counselor · Springfield, MA

NPI number 1962051219 Active

Practice location

332 Birnie Ave
Springfield, MA 01107-1104

Mailing address

72 Prospect St
Stafford Springs, CT 06076-1125

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6525 (CT)

Mental Health Counselor: Definition to come...

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About NPI 1962051219

William Raymond Bradley's National Provider Identifier is 1962051219, issued on Sep 10, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, MA. The record was last updated on Oct 26, 2023.