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Mr. Bradley Thomas Wilson, LMFT
Mental Health Counselor in Fountain Valley, California
NPI 1871244244

Bradley Thomas Wilson is a Mental Health Counselor based in Fountain Valley, CA and is specialized in Mental Health. Bradley Thomas Wilson practices in Fountain Valley, CA and has the professional credentials of LMFT. The NPI Number for Bradley Thomas Wilson is 1871244244 and holds a License No. 130605 (California).

The current practice location address for Bradley Thomas Wilson is 18430 Brookhurst St Ste 202A, Fountain Valley, CA and can be reached out via phone at 714-253-4537.

Location: 18430 Brookhurst St Ste 202A, Fountain Valley, CA, 92708-6758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871244244
Provider Name
Bradley Thomas Wilson
Credential
LMFT
Provider Entity Type
Individual
Gender
Male
Address
18430 Brookhurst St Ste 202A, Fountain Valley, CA, 92708-6758
Phone Number
714-253-4537
Fax Number
Provider Enumeration Date
01/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18430 Brookhurst St Ste 202A
City
Fountain Valley
State
California
Zip
92708-6758
Phone Number
714-253-4537
Fax Number
person
Provider Business Mailing Address Details
Address
18430 Brookhurst St Ste 202A
City
Fountain Valley
State
California
Zip
92708-6758
Phone Number
714-253-4537
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
130605 (California)
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.
130605 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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