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Peter Bradley SR., MA,LCPC,CRADC
Mental Health Counselor in Homewood, Illinois
NPI 1295383115

Peter Bradley SR. is a Mental Health Counselor based in Homewood, IL and is specialized in Mental Health. Peter Bradley SR. practices in Homewood, IL and has the professional credentials of MA,LCPC,CRADC. The NPI Number for Peter Bradley SR. is 1295383115 and holds a License No. 180.012081 (Illinois).

The current practice location address for Peter Bradley SR. is 17900 Dixie Hwy Ste 5, Homewood, IL and can be reached out via phone at 708-365-6373.

Location: 17900 Dixie Hwy Ste 5, Homewood, IL, 60430-3039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295383115
Provider Name
Peter Bradley SR.
Credential
MA,LCPC,CRADC
Provider Entity Type
Individual
Gender
Male
Address
17900 Dixie Hwy Ste 5, Homewood, IL, 60430-3039
Phone Number
708-365-6373
Fax Number
Provider Enumeration Date
09/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17900 Dixie Hwy Ste 5
City
Homewood
State
Illinois
Zip
60430-3039
Phone Number
708-365-6373
Fax Number
person
Provider Business Mailing Address Details
Address
17900 Dixie Hwy Ste 5
City
Homewood
State
Illinois
Zip
60430-3039
Phone Number
708-365-6373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
180.012081 (Illinois)
Definition
Definition to come...
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