BRADFORD WILSON, TLLP

TLLP

Psychologist

NPI: 1396081451IndividualAccepts Medicare

Specialties, Licenses & Credentials

Counselor

Code: 101Y00000X

6301015339(MI)6361007564(MI)

PsychologistPrimary

Psychologist

Code: 103T00000X

6361007564(MI)

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2011

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Contact & Hours

Address: 133 W MAIN ST
BENTON HARBOR, MI 49022
Phone: (269) 408-2258

Locations (2)

Practice Location

133 W MAIN ST, BENTON HARBOR, MI

Practice Location

5675 FAIRVIEW ST, STEVENSVILLE, MI

Quick Facts

NPI: 1396081451
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 3
Locations: 2
Years in Practice: 15

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