BRAD ILLIAN

CONCORD, NH
NPI1619691235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2022-09-27
Last Update Date2024-06-28
Business Address
BRAD ILLIAN MA, MLADC
112 S STATE ST
CONCORD, NH 03301-3528
Phone number: 603-998-4210
Mailing Address
BRAD ILLIAN MA, MLADC
112 S STATE ST
CONCORD, NH 03301-3528
Phone number:
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