MARK L BRADBURY MA, LMFTA
NPI 1184312894
Marriage & Family Therapist in Kelso, WA

Active since May 01, 2023
416 WALNUT ACRES RD, KELSO, WA 98626(208) 740-4382 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 2, 2024, Jul 8, 2024, May 1, 2023 (3 updates tracked since 2023).

About Mark L Bradbury Ma, Lmfta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK L BRADBURY MA, LMFTA (NPI 1184312894) is an individual marriage & family therapist in Kelso, Washington, licensed in Washington (MG61552309) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1184312894
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMARK L BRADBURYCredential: MA, LMFTA
Location Address416 WALNUT ACRES RDKelso, WA 98626-9788
Mailing Address416 Walnut Acres RdKelso, WA 98626-9788 · (208) 740-4382
Sole ProprietorNo
Enumeration DateMay 1, 2023
Last NPPES UpdateSeptember 2, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2024
NPI 1184312894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in WA · MG61552309
Definition
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.
416 WALNUT ACRES RD, Kelso, WA 98626

Other Identifiers 1

Medicaid2243555WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Bradbury's NPI number?

The NPI number for Mark Bradbury is 1184312894. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Mark Bradbury located?

Mark Bradbury practices at 416 Walnut Acres Rd, Kelso, WA 98626. The listed phone number is (208) 740-4382.

What is Mark Bradbury's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Mark Bradbury was last updated on September 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.