BRADLEY CLARK

LINDSTROM, MN
NPI1467112342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  3068)
Enumeration Date2021-12-20
Last Update Date2021-12-20
Business Address
BRADLEY CLARK MA LPCC LADC
12814 LAKE BLVD
LINDSTROM, MN 55045-9345
Phone number: 651-755-4276
Mailing Address
BRADLEY CLARK MA LPCC LADC
PO BOX 974
LINDSTROM, MN 55045-0974
Phone number: 651-755-4276