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Justine F. Bradley, Lpc, Llc
Adolescent and Children Mental Health Clinic/Center in Marion, Virginia
NPI 1851065072

Justine F. Bradley, Lpc, Llc is an Adolescent and Children Mental Health Clinic/Center based in Marion, VA and is specialized in Adolescent and Children Mental Health. Justine F. Bradley, Lpc, Llc practices in Marion, VA. The NPI Number for Justine F. Bradley, Lpc, Llc is 1851065072 and holds a License No. (Virginia).

The current practice location address for Justine F. Bradley, Lpc, Llc is 110 Brunswick Ln, Marion, VA and can be reached out via phone at 276-285-5203 and via fax at 276-285-5455.

Location: 110 Brunswick Ln, Marion, VA, 24354-3339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851065072
Provider Name
Justine F. Bradley, Lpc, Llc
Credential
Provider Entity Type
Organization
Address
110 Brunswick Ln, Marion, VA, 24354-3339
Phone Number
276-285-5203
Fax Number
276-285-5455
Provider Enumeration Date
08/02/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
110 Brunswick Ln
City
Marion
State
Virginia
Zip
24354-3339
Phone Number
276-285-5203
Fax Number
276-285-5455
person
Provider Business Mailing Address Details
Address
110 Brunswick Ln
City
Marion
State
Virginia
Zip
24354-3339
Phone Number
276-285-5203
Fax Number
276-285-5455
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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