| Octavia Bradley, BA | |
|
2115 Millburn Ave Ste 104, Maplewood, NJ 07040-3714 | |
| (973) 850-9554 | |
| Not Available |
| Full Name | Octavia Bradley |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2115 Millburn Ave Ste 104, Maplewood, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417614447 | NPI | - | NPPES |
| 83-2600221 | Other | NJ | TAX IDENTIFICATION NUMBER |
| 832600221 | Other | NJ | TAX IDENTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Octavia Bradley, BA 2115 Millburn Ave Ste 104, Maplewood, NJ 07040-3714 Ph: (973) 850-9554 | Octavia Bradley, BA 2115 Millburn Ave Ste 104, Maplewood, NJ 07040-3714 Ph: (973) 850-9554 |
Mr. Moses Myers Jr., MS, LCADC,SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2130 Millburn Ave, Suite D1, Maplewood, NJ 07040 Phone: 908-875-5123 Fax: 973-763-8243 | |
Angelica Eason-white, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 Millburn Ave Ste 100, Maplewood, NJ 07040 Phone: 973-558-0752 | |
Latonya White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2130 Millburn Ave Ste D1, Maplewood, NJ 07040 Phone: 973-699-1337 Fax: 973-763-8243 | |
Miss Erlie Moise, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Parker Ave, Maplewood, NJ 07040 Phone: 973-762-5600 | |
Nicole Peluso, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 Millburn Ave, Maplewood, NJ 07040 Phone: 201-400-2503 | |
Emmanuel Rwivanga Ruranga, MS.LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 Millburn Ave Ste 102, Maplewood, NJ 07040 Phone: 973-821-4702 | |
Ms. Laura Cronan Otchy, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 669 Prospect St, Maplewood, NJ 07040 Phone: 973-762-4185 |