JACOB BRADFORD

MARION, IN
NPI1982362448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  99111834A)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2021-12-02
Last Update Date2022-06-07
Business Address
JACOB BRADFORD LMHC-A
323 E 2ND ST
MARION, IN 46952-3871
Phone number: 765-573-5567
Mailing Address
JACOB BRADFORD LMHC-A
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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