BRADLEY JONATHAN FORTIN

WASILLA, AK
NPI1417843178
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-06-17
Last Update Date2025-06-17
Business Address
BRADLEY JONATHAN FORTIN
291 E SWANSON AVE
WASILLA, AK 99654-7004
Phone number: 907-274-8281
Mailing Address
BRADLEY JONATHAN FORTIN
1251 MULDOON RD STE 116
ANCHORAGE, AK 99504-2098
Phone number: 907-274-8281
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COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC