| Datrese Monique Bradley, LCPC | |
|
103 N Rod Ln, Carbondale, IL 62901-2031 | |
| (618) 203-6925 | |
| Not Available |
| Full Name | Datrese Monique Bradley |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 103 N Rod Ln, Carbondale, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053059949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.014457 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Datrese Monique Bradley, LCPC 103 N Rod Ln, Carbondale, IL 62901-2031 Ph: (618) 203-6925 | Datrese Monique Bradley, LCPC 103 N Rod Ln, Carbondale, IL 62901-2031 Ph: (618) 203-6925 |
Mr. Dave Scott Evans, MS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 East College, Carbondale, IL 62901 Phone: 618-457-6703 Fax: 618-529-4563 | |
Emily Margaret Macdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 629-278-2696 | |
Ms. Melissa Cauthen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1016 S Emerald Ln, Carbondale, IL 62901 Phone: 618-559-6346 | |
Poorva Talapatra, M.ED., LCPC Counselor Medicare: Medicare Enrolled Practice Location: 400 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9900 Fax: 618-529-1384 | |
Levi Wampler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-615-9754 | |
Anna Hughes, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-6703 Fax: 618-549-3734 | |
Lindsay Miller, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 101 S Wall St, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9404 |