Talya Dawn Bradford LCPC

NPI 1073742581 - Counselor - 101YP2500X

NPI Details
NPI 1073742581
Gender Female
Enumeration Date 07/06/2009
Last Updated 01/03/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
9881 BROKENLAND PKWY
SUITE 105
COLUMBIA MD, 21046-1172, US
Phone (443) 871-8815
Fax
Business Location
111 HORIZON DR
MILLERSVILLE MD, 21108-1758, US
Phone (443) 871-8815
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Maryland
License Number LC3182
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According to our database, Mrs. Talya Dawn Bradford LCPC NPI is 1073742581, taxonomy code is 101YP2500X and license number is LC3182, license state is located at Maryland. Talya Dawn Bradford LCPC physically located at 9881 Brokenland Pkwy, Columbia MD, 21046-1172. NPI Number Talya Dawn Bradford LCPC has the Individual type.

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1073742581 NPI number is provided on an as is basis without warranty of any kind. 1073742581 is maintained by the National Plan & Provider Enumeration System. The contents of Talya Dawn Bradford LCPC are for informational purposes only.