Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley Clark, MALPCCLADC

Individual provider Mental Health Counselor · NPI 1467112342

Bradley Clark, MALPCCLADC is a Mental Health Counselor in Lindstrom, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

12814 Lake Blvd
Lindstrom, MN 55045-9345
Phone: (651) 755-4276
Fax: (888) 972-5307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3068 (MN)

Record details

NPI number1467112342
Entity typeIndividual (Type 1)
GenderMale
Credentials MALPCCLADC
Sole proprietorYes
NPI enumeratedDecember 20, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing addressPo Box 974, Lindstrom, MN 55045-0974

Other providers in Lindstrom