MARK L BRADBURY MA LMFTA NPI 1184312894

NPI Information

  • NPI: 1184312894
  • Provider Name: MARK L BRADBURY, MA, LMFTA
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • Address: 416 WALNUT ACRES RD
    KELSO, WA
    ZIP 98626
  • Phone: (208) 740-4382

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NPI Details

Mark L Bradbury, MA, LMFTA is a marriage family therapist in Kelso, WA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Mark L Bradbury, MA, LMFTA NPI is 1184312894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

416 WALNUT ACRES RD
KELSO, WA
ZIP 98626-788
Phone: (208) 740-4382

The enumeration date for this NPI number is 5/1/2023 and was last updated on 9/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family TherapistMG61552309WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12243555MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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