Dexter, Bradley J

Dexter, Bradley J is an individual health care provider with primary practice located at 5650 N Green Bay Ave Ste 205 , Glendale WI 53209-4446. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Dexter, Bradley J can be contacted via phone (773) 425-8823.

Contact Information

Primary practice address
5650 N Green Bay Ave Ste 205 Glendale WI 53209-4446
Phone: (773) 425-8823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10833-125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 10833-125 Wisconsin

Profile Details

NPI number 1629713433
LBN Legal business name Dexter, Bradley J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2022
Last updated Feb 19th, 2024 - about 2 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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