| Justine F. Bradley, Lpc, Llc | |
|
110 Brunswick Ln Marion VA 24354-3339 | |
| (276) 285-5203 | |
| (276) 285-5455 |
| Full Name | Justine F. Bradley, Lpc, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 110 Brunswick Ln, Marion, Virginia |
| Authorized Official Name and Position | Justine F Bradley (OWNER/MEMBER) |
| Authorized Official Contact | 2762855203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justine F. Bradley, Lpc, Llc 110 Brunswick Ln Marion VA 24354-3339 Ph: (276) 285-5203 | Justine F. Bradley, Lpc, Llc 110 Brunswick Ln Marion VA 24354-3339 Ph: (276) 285-5203 |
| NPI Number | 1851065072 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 08/02/2021 |
| Certification Date | 07/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851065072 | NPI | - | NPPES |
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