| Emilie Bradley Lpc Atr Pllc | |
|
4220 Cypress Park Dr Ste B Roanoke VA 24018-8403 | |
| (540) 772-1872 | |
| (540) 772-4830 |
| Full Name | Emilie Bradley Lpc Atr Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4220 Cypress Park Dr Ste B, Roanoke, Virginia |
| Authorized Official Name and Position | Maria Weaver (OFFICE MANAGER) |
| Authorized Official Contact | 5405298543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emilie Bradley Lpc Atr Pllc Po Box 21154 Roanoke VA 24018-0117 Ph: (540) 772-1872 | Emilie Bradley Lpc Atr Pllc 4220 Cypress Park Dr Ste B Roanoke VA 24018-8403 Ph: (540) 772-1872 |
| NPI Number | 1740963842 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740963842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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