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Mr. Michael-david Robert Bradford, LPC
Professional Counselor in Hurst, Texas
NPI 1114010451

Michael-david Robert Bradford is a Professional Counselor based in Hurst, TX and is specialized in Professional. Michael-david Robert Bradford practices in Hurst, TX and has the professional credentials of LPC. The NPI Number for Michael-david Robert Bradford is 1114010451 and holds a License No. 20103 (Texas).

The current practice location address for Michael-david Robert Bradford is 3045 Trinity Lakes Dr, Hurst, TX and can be reached out via phone at 817-726-8165.

Location: 3045 Trinity Lakes Dr, Hurst, TX, 76053-7458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114010451
Provider Name
Michael-david Robert Bradford
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3045 Trinity Lakes Dr, Hurst, TX, 76053-7458
Phone Number
817-726-8165
Fax Number
Provider Enumeration Date
09/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
178702001 05 TX
institution
Provider Business Practice Location Address Details
Address
3045 Trinity Lakes Dr
City
Hurst
State
Texas
Zip
76053-7458
Phone Number
817-726-8165
Fax Number
person
Provider Business Mailing Address Details
Address
3045 Trinity Lakes Dr
City
Hurst
State
Texas
Zip
76053-7458
Phone Number
817-726-8165
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
20103 (Texas)
Definition
Definition to come...
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