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

Datrese Monique Bradley, LCPC

Individual provider Professional Counselor · NPI 1053059949

Datrese Monique Bradley, LCPC is a Professional Counselor in Carbondale, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

103 N Rod Ln
Carbondale, IL 62901-2031
Phone: (618) 203-6925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.014457 (IL)

Record details

NPI number1053059949
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedMay 22, 2022
Last updated in NPPESMay 22, 2022
Certification dateMay 22, 2022

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