Wilson, Bradley Thomas

Wilson, Bradley Thomas is an sole proprietor health care provider with primary practice located at 18430 Brookhurst St Ste 202A , Fountain Valley CA 92708-6758. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wilson, Bradley Thomas can be contacted via phone (714) 253-4537.

Contact Information

Primary practice address
18430 Brookhurst St Ste 202A Fountain Valley CA 92708-6758
Phone: (714) 253-4537
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 130605 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 130605 California

Profile Details

NPI number 1871244244
LBN Legal business name Wilson, Bradley Thomas
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2022
Last updated Apr 25th, 2022 - about 3 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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