Dr. Michelle Bradham-Cousar's National Provider Identifier (NPI) Details
Dr. Michelle Bradham-Cousar, PhD, CRC, LMHC, NCC
NPI: 1417601097
Enumeration Date: 2022-02-11
Last updated: 2022-02-11
Sole Proprietor: YES
Status: active
Postal Address: 10121 E ADAMO DR UNIT 89761, TAMPA, FL
Phone:
Primary Practice Address: 1503 S US 301 UNIT 92, TAMPA, FL
Practice's phone: 941-250-5446