Hudson, Bradley Robert

Hudson, Bradley Robert is an sole proprietor health care provider with primary practice located at 201 W Lakeway Rd Ste 902 , Gillette WY 82718-6345. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Hudson, Bradley Robert can be contacted via phone (307) 209-4649.

Contact Information

Primary practice address
201 W Lakeway Rd Ste 902 Gillette WY 82718-6345
Phone: (307) 209-4649
Fax: (307) 381-0493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-234 Wyoming

Profile Details

NPI number 1063922920
LBN Legal business name Hudson, Bradley Robert
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2017
Last updated Dec 28th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063922920 NPPES
Other 922436337 EINS

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