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BRADLEY T BEHM LPC MA NCC LPC
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1750456810
Individual Registrant: BRADLEY T BEHM LPC MA NCC LPC
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
249 W. PONDEROSA DR WHITERIVER, AZ 85941 US
Tel: 928-338-4811 Fax: --
Tel: 928-338-4811 Fax: --
Contact information for business:
249 W. PONDEROSA DR PO BOX 1089 WHITERIVER, AZ 85941 US
Tel: 928-338-4811 Fax: --
Tel: 928-338-4811 Fax: --
Registration Information:
NPI: 1750456810
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | AZ | LPC12260 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
