Bradley Thomas Mayville

NPI #1215526066 in Lyons, New York

Provider Information

NPI Number
1215526066
Entity Type
Individual
Name
Bradley Thomas Mayville
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jan 15, 2021
Last Updated
Jan 15, 2021

Practice Location

Address
1519 NYE RD
City
Lyons
ZIP Code
14489-9133
Phone
(315) 946-5722

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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