SearchArkansas1041C0700X

Bradley Charbonneau, LCSW

NPI 1578944641 · on the registry since 2015 · sole proprietor

Practice

Address
1090 Arnold Dr
Little Rock Afb, AR 72099
Phone
(501) 987-2597
Organisation at this address
19th Medgrp-Little Rock
Inferred from a shared address, not stated in the registry.
Clinicians at this address
103

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-07

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 Arkansas