NPI | 1629713433 |
---|---|
Professional Name | BRADLEY J DEXTER, MA, LPC |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10833-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 10833-125) |
Enumeration Date | 2022-05-05 |
Last Update Date | 2024-02-19 |