BRADLEY JAMES BERTRAND

PUEBLO, CO
NPI1376837286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  6416)
Enumeration Date2011-06-08
Last Update Date2011-06-08
Business Address
-- BRADLEY JAMES BERTRAND CAC III
425 W 3RD ST
PUEBLO, CO 81003-3207
Phone number: 719-404-1992
Mailing Address
-- BRADLEY JAMES BERTRAND CAC III
425 W 3RD ST
PUEBLO, CO 81003-3207
Phone number: 719-404-1992
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