Bradley, Michael

Bradley, Michael is an individual health care provider with primary practice located at 401 Cypress St , Manchester NH 03103-3628. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Bradley, Michael can be contacted via phone (603) 668-4111.

Contact Information

Primary practice address
401 Cypress St Manchester NH 03103-3628
Phone: (603) 668-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0260 New Hampshire
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 109 New Hampshire

Profile Details

NPI number 1972680478
LBN Legal business name Bradley, Michael
Credentials LCMHC, MLADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972680478 NPPES
New Hampshire Other 020258994-13 HARVARD PILGRIM
New Hampshire Other 1039161 HARVARD PILGRIM
New Hampshire Other 3003541Y0NH01 HARVARD PILGRIM

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