Mark L Bradbury, MA, LMFTA is a
Marriage & Family Therapist based in Kelso, Washington. Mark L Bradbury is licensed to practice in Washington (license number MG61552309) and his current practice location is
416 Walnut Acres Rd, Kelso, Washington. He can be reached at his office (for appointments etc.) via phone at
(208) 740-4382.
NPI number for Mark L Bradbury is 1184312894 and his current mailing address is 416 Walnut Acres Rd, Kelso, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184312894.
Healthcare Provider's Profile
Full Name | Mark L Bradbury |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 416 Walnut Acres Rd, Kelso, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184312894
- Provider Enumeration Date: 05/01/2023
- Last Update Date: 09/02/2024
Medical Identifiers
Medical identifiers for Mark L Bradbury such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184312894 | NPI | - | NPPES |
2243555 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MG61552309 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark L Bradbury is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mark L Bradbury, MA, LMFTA 416 Walnut Acres Rd, Kelso, WA 98626-9788 Ph: (208) 740-4382 | Mark L Bradbury, MA, LMFTA 416 Walnut Acres Rd, Kelso, WA 98626-9788 Ph: (208) 740-4382 |
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