Search › Virginia › 1041C0700X
Kevin Bradley, LCSW
NPI 1184192981 · on the registry since 2018 · sole proprietor
Practice
- Address
- 12408 Alexander Cornell Dr
Fairfax, VA 22033 - Phone
- (703) 658-9054
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia