| Bradley Clark, MA LPCC LADC | |
|
12814 Lake Blvd, Lindstrom, MN 55045-9345 | |
| (651) 755-4276 | |
| (888) 972-5307 |
| Full Name | Bradley Clark |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 12814 Lake Blvd, Lindstrom, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467112342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3068 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Clark, MA LPCC LADC Po Box 974, Lindstrom, MN 55045-0974 Ph: (651) 755-4276 | Bradley Clark, MA LPCC LADC 12814 Lake Blvd, Lindstrom, MN 55045-9345 Ph: (651) 755-4276 |
Carla Marie Mckean, MA LMFT, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12814 Lake Blvd, Lindstrom, MN 55045 Phone: 651-755-4276 Fax: 888-972-5307 | |
Ms. Jennifer L. Coolidge, M.A., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12099 Lindstrom Ln, Lindstrom, MN 55045 Phone: 651-212-5202 Fax: 844-231-8867 | |
Ilissa Jones, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 12814 Lake Blvd, Lindstrom, MN 55045 Phone: 651-755-4276 | |
Paul Eric Melby, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 12295 Lake Blvd, Lindstrom, MN 55045 Phone: 612-799-8532 | |
Diana Allen Bjorkman, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28533 Lakeside Trl, Lindstrom, MN 55045 Phone: 651-894-4822 |