Active NPIIndividual provider

Kathleen Bradley, LPC

Counselor, Professional in Griswold, Connecticut

NPI Number1629735402
Practice location
226 E Main St, Griswold, CT 06351-2110
Fax
860-376-7045
Last updated
October 22, 2024

Kathleen Bradley is a Counselor, Professional based in Griswold, CT. Kathleen Bradley practices in Griswold, CT and has the professional credentials of LPC. The NPI Number for Kathleen Bradley is 1629735402 and holds a License No. 5284 (CT). The current practice location address for Kathleen Bradley is 226 E Main St, Griswold, CT 06351-2110 and can be reached out via phone at 860-376-7040 and via fax at 860-376-7045.

Provider Profile Details

NPI Number
1629735402
Provider Name
Kathleen Bradley
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
226 E Main St, Griswold, CT 06351-2110
Phone Number
860-376-7040
Fax Number
860-376-7045
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
November 29, 2021
Last Update Date
October 22, 2024
Certification Date
October 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
226 E Main St
Griswold, CT 06351-2110
Zip
06351-2110
Phone Number
860-376-7040
Fax Number
860-376-7045
Griswold, CT 06351Get directions →

Provider Business Mailing Address Details

Address
226 E Main St
Griswold, CT 06351-2110
City
Griswold
State
CT
Zip
06351-2110
Phone Number
860-376-7040

License Information

License Number (1)
5284
License State (1)
CT
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
7284
License State (2)
CT
Taxonomy (2)
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen Bradley, LPC?

The NPI number of Kathleen Bradley, LPC is 1629735402. It was assigned on November 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Kathleen Bradley, LPC?

Kathleen Bradley, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 5284.

Where does Kathleen Bradley, LPC practice?

The practice location is 226 E Main St, Griswold, CT 06351-2110. The office can be reached at 860-376-7040 (phone) or 860-376-7045 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629735402 directly on the NPPES registry website.

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