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Provider Profile

Datrese M. Bradley, LCPC

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At a glance

About Datrese Bradley

Datrese M. Bradley, LCPC is a professional counselor based in Carbondale, IL. The provider's National Provider Identifier (NPI) is 1053059949.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

IL licenceAs reported to the NPI registry
No. 180.014457As reported
NPINational Provider Identifier
1053059949Issued 2022

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Datrese M. Bradley's specialty?

Datrese M. Bradley is a professional counselor in Carbondale, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Datrese M. Bradley?

Datrese M. Bradley is listed at 103 N Rod Ln, Carbondale, IL 62901. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Datrese M. Bradley?

The number on file is (618) 203-6925. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Datrese M. Bradley?

Datrese M. Bradley's National Provider Identifier is 1053059949. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Datrese M. Bradley have?

Datrese M. Bradley has 4+ years experience. Registered with an NPI since 2022. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Datrese M. Bradley's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Datrese M. Bradley. If this is you, claiming it is free.

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