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Dr. Mary Leta Bradshaw, EDD,LMHC,NCC,CEAP
Mental Health Counselor in Sarasota, Florida
NPI 1285950477

Mary Leta Bradshaw is a Mental Health Counselor based in Sarasota, FL and is specialized in Mental Health. Mary Leta Bradshaw practices in Sarasota, FL and has the professional credentials of EDD,LMHC,NCC,CEAP. The NPI Number for Mary Leta Bradshaw is 1285950477 and holds a License No. MH9598 (Florida).

The current practice location address for Mary Leta Bradshaw is 8586 Potter Park Dr, Sarasota, FL and can be reached out via phone at 941-587-7372 and via fax at 941-922-0035.

Location: 8586 Potter Park Dr, Sarasota, FL, 34238-5439
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Provider Profile Details
NPI Number
1285950477
Provider Name
Mary Leta Bradshaw
Credential
EDD,LMHC,NCC,CEAP
Provider Entity Type
Individual
Gender
Female
Address
8586 Potter Park Dr, Sarasota, FL, 34238-5439
Phone Number
941-587-7372
Fax Number
941-922-0035
Provider Enumeration Date
04/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH9598 01 FL LICENSE
institution
Provider Business Practice Location Address Details
Address
8586 Potter Park Dr
City
State
Zip
34238-5439
Phone Number
941-587-7372
Fax Number
941-922-0035
person
Provider Business Mailing Address Details
Address
8586 Potter Park Dr
City
State
Zip
34238-5439
Phone Number
941-587-7372
Fax Number
941-922-0035
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH9598 (Florida)
Definition
Definition to come...
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