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CAROLEE BRADY MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1477731032

Individual Registrant:
 CAROLEE  BRADY MFT
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

Contact information for business:
PO BOX 253  PT ARENA, CA 95468-0253 US
Tel: 707-472-4700  Fax: 707-882-3125

Registration Information:
NPI: 1477731032
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA37319

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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