BRADLEY ADAIR VATTILANA

ESTERO, FL
NPI1184276511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH21446)
Enumeration Date2019-07-16
Last Update Date2024-01-05
Business Address
BRADLEY ADAIR VATTILANA MS, LMHC
22904 LYDEN DR UNIT 104
ESTERO, FL 33928-7048
Phone number: 239-494-3951
Mailing Address
BRADLEY ADAIR VATTILANA MS, LMHC
22904 LYDEN DR UNIT 104
ESTERO, FL 33928-7048
Phone number: 239-494-3951