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Ms. Mary Bradley, CG60735677
Peer Specialist in Tacoma, Washington
NPI 1568934420

Mary Bradley is a Peer Specialist based in Tacoma, WA. Mary Bradley practices in Tacoma, WA and has the professional credentials of CG60735677. The NPI Number for Mary Bradley is 1568934420 and holds a License No. CG60735677 (Washington).

The current practice location address for Mary Bradley is 2422 96Th St S Apt J105, Tacoma, WA and can be reached out via phone at 805-217-5654.

Location: 2422 96Th St S Apt J105, Tacoma, WA, 98444-1782
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Provider Profile Details
NPI Number
1568934420
Provider Name
Mary Bradley
Credential
CG60735677
Provider Entity Type
Individual
Gender
Female
Address
2422 96Th St S Apt J105, Tacoma, WA, 98444-1782
Phone Number
805-217-5654
Fax Number
Provider Enumeration Date
12/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG60735677 05 WA
institution
Provider Business Practice Location Address Details
Address
2422 96Th St S Apt J105
City
State
Zip
98444-1782
Phone Number
805-217-5654
Fax Number
person
Provider Business Mailing Address Details
Address
2422 96Th St S Apt J105
City
State
Zip
98444-1782
Phone Number
805-217-5654
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CG60735677 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
CG60735677 (Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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