person
Ms. Sharon Lee Bonnellbradley, LICSW
Mental Health Counselor in Medford, Massachusetts
NPI 1366510307

Sharon Lee Bonnellbradley is a Mental Health Counselor based in Medford, MA and is specialized in Mental Health. Sharon Lee Bonnellbradley practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Sharon Lee Bonnellbradley is 1366510307 and holds a License No. 1024763 (Massachusetts).

The current practice location address for Sharon Lee Bonnellbradley is 84 High St, Medford, MA and can be reached out via phone at 781-391-1640 and via fax at 781-391-1640.

Location: 84 High St, Medford, MA, 02155-3844
person
Provider Profile Details
NPI Number
1366510307
Provider Name
Sharon Lee Bonnellbradley
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
84 High St, Medford, MA, 02155-3844
Phone Number
781-391-1640
Fax Number
781-391-1640
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
550010005757 01 MA PACIFICARE PROVIDER ID
986151 01 MA NETWORK PROVIDER ID
003450 01 MA MBHP PROVIDER ID
1013390 01 MA BEACON HEALTH STRATEGIES
7925159 01 MA AETNA PROVIDER ID
P07505 01 MA BCBSPROVIDER ID
003450 01 MA VALUE OPTIONS PROVIDER ID
314436 01 MA MBC PROVIDER ID
793613 01 MA TUFTS PROVIDER ID
1851489 05 MA
institution
Provider Business Practice Location Address Details
Address
84 High St
City
State
Zip
02155-3844
Phone Number
781-391-1640
Fax Number
781-391-1640
person
Provider Business Mailing Address Details
Address
84 High St
City
State
Zip
02155-3844
Phone Number
781-391-1640
Fax Number
781-391-1640
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1024763 (Massachusetts)
Definition
Definition to come...
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