Provider Demographics
NPI:1750654018
Name:THORNE, BRADFORD E (LMHC)
Entity Type:Individual
Prefix:MR
First Name:BRADFORD
Middle Name:E
Last Name:THORNE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BILLINGS RD STE 306
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-2456
Mailing Address - Country:US
Mailing Address - Phone:617-251-1077
Mailing Address - Fax:
Practice Address - Street 1:1 BILLINGS RD STE 306
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-2456
Practice Address - Country:US
Practice Address - Phone:617-251-1077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1236101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health