Bradley, Leonard Eugene
Bradley, Leonard Eugene is an sole proprietor health care provider with primary practice located at 9167 W Florissant Ave , Saint Louis MO 63136-1420. He recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Bradley, Leonard Eugene can be contacted via phone (314) 547-4081.Contact Information
Primary practice address
9167 W Florissant Ave
Saint Louis MO 63136-1420
Phone: (314) 547-4081
Fax: (314) 524-3804
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Community/Behavioral Health | 251S00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4917 | Missouri |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1285640581 |
---|---|
LBN Legal business name | Bradley, Leonard Eugene |
Credentials | MSE, CCDP-D, ICCDP-D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 31st, 2006 |
Last updated | Sep 2nd, 2010 - about 15 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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