Michael W. Bradburn
Counselor Pastoral Counselor Clinical Social Worker
1819 Bay Scott Cir Suite 109
Naperville
, Illinois 60540-1129
Michael W. Bradburn
Counselor Pastoral Counselor Clinical Social Worker
1819 Bay Scott Cir Suite 109
Naperville
, Illinois 60540-1129
(630) 357-2482
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About
Features
Specialties
- Counselor
- Pastoral Counselor
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Michael W. Bradburn
- 1819 Bay Scott Cir Suite 109
- Naperville, IL
- Zip : 60540-1129
- Fax : (630) 357-2482
- Phone : (630) 357-2456
Second Address
- Michael W. Bradburn
- 1819 Bay Scott Cir Suite 109
- Naperville, IL
- Zip : 60540-1129
- Fax : (630) 357-2482
- Phone : (630) 357-2456
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | ||
| N | 101YP1600X | Pastoral Counselor | ||
| Y | 1041C0700X | Clinical Social Worker | 149.008325 | IL |
National Provider Identifier
| NPI | 1205140811 |
|---|---|
| Provider Name | Michael W. Bradburn |
| First Address | Naperville, IL 60540-1129 |
| Second Address | Naperville, IL 60540-1129 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2010 |
| Last Update Date | 01/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.