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1275148694
BRAD WILLIAM THAYER
BURLINGAME, CA
NPI
1275148694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-20916)
Enumeration Date
2020-09-11
Last Update Date
2022-08-19
Business Address
BRAD WILLIAM THAYER LPC, NCC, CCTP
287 LORTON AVE
BURLINGAME, CA 94010-4203
Phone number: 877-505-7147
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Mailing Address
BRAD WILLIAM THAYER LPC, NCC, CCTP
2300 E FRY BLVD
SIERRA VISTA, AZ 85635-2712
Phone number: 520-477-1863
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