Doctor Name: | MS. BRADLEY JEAN VAN HOEK |
NPI Number: | 1184935314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MBA,MA,MS |
License Number: | MH10473 |
Business Practice Address: | 205 Worth Ave Suite 201 Palm Beach, FL - 334804606 |
Business Phone Number: | 5612811693 |
Business Fax Number: | |
Mailing Address: | 205 Worth Ave, Suite 201 PALM BEACH |
State: | FL |
Postal Code: | 334804606 |
Phone Number: | 5612811693 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2010 |
NPI Last Update Date: | 09/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | MH10473 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |