BRADLEY S WALLACE

BRISTOL, TN
NPI1215706528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: TN  1777)
Enumeration Date2023-12-28
Last Update Date2025-03-04
Business Address
BRADLEY S WALLACE LMFT
1145 VOLUNTEER PKWY
BRISTOL, TN 37620-4652
Phone number: 423-989-4500
Mailing Address
BRADLEY S WALLACE LMFT
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600