Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DATRESE MONIQUE BRADLEY, LCPC
Active Sole ProprietorDATRESE MONIQUE BRADLEY, LCPC is a Professional Counselor healthcare provider located in CARBONDALE, Illinois. NPI 1053059949 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CARBONDALE, IL
Registration Details
- NPI Number
- 1053059949
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2022 (4.2112706215835 yrs)
- Last Updated
- May 22, 2022
- License
-
180.014457 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 N ROD LNCARBONDALE, IL, 629012031Browse IL providers · Browse ZIP 62901
- Phone
- 6182036925
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in CARBONDALE, IL
| Name | Credential | NPI |
|---|---|---|
| DENNIS L HOWELL | LCPC | 1972582872 |
| LAURA L HERZOG | LCPC | 1720067622 |
| MOLLY B MCELVAIN | LCPC | 1457330367 |
| THOMAS ROGER CASPER | LCPC | 1144209909 |
| DAVID ALLEN ELAM | PH.D. | 1831112804 |
| MRS. BARB GRACE ELAM | LCPC | 1447273412 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.