MR. Bradley Dale Marine, LPCC
NPI #1528449170 in Louisville, Kentucky
Provider Information
- NPI Number
- 1528449170
- Entity Type
- Individual
- Name
- MR. Bradley Dale Marine, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPCC
- Enumeration Date
- Jun 9, 2015
- Last Updated
- Jun 9, 2015
Practice Location
- Address
- 12701 TOWNEPARK WAY
- Address 2
- BARKLEY BLDG. STE 200
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40243-2384
- Phone
- (502) 254-8880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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