Rebecca R Bradley, LCPC, LMFT,LMHC, NCC
Marriage & Family Therapist in Coeur D Alene, ID. Individual provider (NPI-1).
NPI number1962067652
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1962067652
- Entity type
- Individual (NPI-1)
- Name
- Rebecca R Bradley
- Credential
- LCPC, LMFT,LMHC, NCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2019
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | LCPC-9186 | ID |
Practice location
1250 W Ironwood Dr Ste 330Coeur D Alene, ID 83814-2682
Phone 208-274-3020 · Fax 208-561-7081
Mailing address
1250 W Ironwood Dr Ste 330Coeur D Alene, ID 83814-2682
Phone 208-274-3020 · Fax 208-561-7081
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All 46 Marriage & Family Therapist providers in Coeur D Alene · All 2,988 providers in Coeur D Alene
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