Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY CLARK, MA LPCC LADC
Active Sole ProprietorBRADLEY CLARK, MA LPCC LADC is a Mental Health Counselor healthcare provider located in LINDSTROM, Minnesota. NPI 1467112342 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · LINDSTROM, MN
Registration Details
- NPI Number
- 1467112342
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2021 (4.6250671942153 yrs)
- Last Updated
- Dec 20, 2021
- License
-
3068 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12814 LAKE BLVDLINDSTROM, MN, 550459345Browse MN providers · Browse ZIP 55045
- Phone
- 6517554276
- Fax
- 8889725307
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in LINDSTROM, MN
| Name | Credential | NPI |
|---|---|---|
| PAUL ERIC MELBY | MS | 1568865459 |
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.