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CAROLEE BRADY MFT
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1477731032
Individual Registrant: CAROLEE BRADY MFT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
38550 S HWY 1 GUALALA, CA 95445 US
Tel: 707-472-4700 Fax: 707-882-3125
Tel: 707-472-4700 Fax: 707-882-3125
Contact information for business:
PO BOX 253 PT ARENA, CA 95468-0253 US
Tel: 707-472-4700 Fax: 707-882-3125
Tel: 707-472-4700 Fax: 707-882-3125
Registration Information:
NPI: 1477731032
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | 37319 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
