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Contact Information

KYANA BRADLEY, LPC, LCPC
8101 SANDY SPRING RD STE 250
LAUREL, MD20707-3527
 Phone: 202-344-7933
 Fax: 240-366-5750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Counselor

101Y00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for KYANA BRADLEY · (Female)

NPI # 1578052486
Status Active
Credentials LPC, LCPC
Entity Individual
Enumeration date 05/07/2018
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • DC License # PRC14889
  • MD License # LC8316
  • MD Medicaid 907084200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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