Bradley Clark, MA LPCC LADC

NPI #1467112342 in Lindstrom, Minnesota

Provider Information

NPI Number: 1467112342
Entity Type: Individual
Name: Bradley Clark, MA LPCC LADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MA LPCC LADC
Enumeration Date: Dec 20, 2021
Last Updated: Dec 20, 2021

Practice Location

Address: 12814 LAKE BLVD
City: Lindstrom
State: Minnesota
ZIP Code: 55045-9345
Phone: (651) 755-4276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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