Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Leonard Eugene Bradley, MSE, CCDP-D, ICCDP-D

Individual provider Community/Behavioral Health Agency · NPI 1285640581

Mr. Leonard Eugene Bradley, MSE, CCDP-D, ICCDP-D is a Community/Behavioral Health Agency in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

9167 W Florissant Ave
Saint Louis, MO 63136-1420
Phone: (314) 547-4081
Fax: (314) 524-3804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 4917 (MO)
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1285640581
Entity typeIndividual (Type 1)
GenderMale
Credentials MSE , CCDP-D , ICCDP-D
Sole proprietorYes
NPI enumeratedJuly 31, 2006
Last updated in NPPESSeptember 2, 2010

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