person
Bradley Thomas Mayville
Addiction (Substance Use Disorder) Counselor in Lyons, New York
NPI 1215526066

Bradley Thomas Mayville is an Addiction (Substance Use Disorder) Counselor based in Lyons, NY and is specialized in Addiction (Substance Use Disorder). Bradley Thomas Mayville practices in Lyons, NY. The NPI Number for Bradley Thomas Mayville is 1215526066 and holds a License No. 36560 (New York).

The current practice location address for Bradley Thomas Mayville is 1519 Nye Rd, Lyons, NY and can be reached out via phone at 315-946-5722 and via fax at 315-946-7048.

Location: 1519 Nye Rd, Lyons, NY, 14489-9133
person
Provider Profile Details
NPI Number
1215526066
Provider Name
Bradley Thomas Mayville
Credential
Provider Entity Type
Individual
Gender
Male
Address
1519 Nye Rd, Lyons, NY, 14489-9133
Phone Number
315-946-5722
Fax Number
315-946-7048
Provider Enumeration Date
01/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1519 Nye Rd
City
State
Zip
14489-9133
Phone Number
315-946-5722
Fax Number
315-946-7048
person
Provider Business Mailing Address Details
Address
1519 Nye Rd
City
State
Zip
14489-9133
Phone Number
315-946-5722
Fax Number
315-946-7048
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
36560 (New York)
Definition
Definition to come...
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