Search › Missouri › 101YA0400X
Leonard Bradley, MSE, CCDP-D, ICCDP-D
NPI 1285640581 · on the registry since 2006 · sole proprietor
Practice
- Address
- 9167 W Florissant Ave
Saint Louis, MO 63136 - Phone
- (314) 547-4081
- Fax
- (314) 524-3804
- Organisation at this address
- Successful Outcomes,Llc
Synergy Counseling Services
Bta Behavioral Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 251S00000X
101YM0800X - Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-09-02
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 Missouri