Carson, Bradley Warren

Carson, Bradley Warren is an individual health care provider with primary practice located at 299 12Th St Ste A , Marina CA 93933-6003. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Carson, Bradley Warren can be contacted via phone (831) 647-7652.

Contact Information

Primary practice address
299 12Th St Ste A Marina CA 93933-6003
Phone: (831) 647-7652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1154845360
LBN Legal business name Carson, Bradley Warren
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2017
Last updated Nov 16th, 2018 - about 6 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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