person
Datrese Monique Bradley, LCPC
Professional Counselor in Carbondale, Illinois
NPI 1053059949

Datrese Monique Bradley is a Professional Counselor based in Carbondale, IL and is specialized in Professional. Datrese Monique Bradley practices in Carbondale, IL and has the professional credentials of LCPC. The NPI Number for Datrese Monique Bradley is 1053059949 and holds a License No. 180.014457 (Illinois).

The current practice location address for Datrese Monique Bradley is 103 N Rod Ln, Carbondale, IL and can be reached out via phone at 618-203-6925.

Location: 103 N Rod Ln, Carbondale, IL, 62901-2031
person
Provider Profile Details
NPI Number
1053059949
Provider Name
Datrese Monique Bradley
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
103 N Rod Ln, Carbondale, IL, 62901-2031
Phone Number
618-203-6925
Fax Number
Provider Enumeration Date
05/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
103 N Rod Ln
City
State
Zip
62901-2031
Phone Number
618-203-6925
Fax Number
person
Provider Business Mailing Address Details
Address
103 N Rod Ln
City
State
Zip
62901-2031
Phone Number
618-203-6925
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.014457 (Illinois)
Definition
Definition to come...
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