Individual provider · Type 1 NPI
Tinzley Juanita Bradford, WELLNESS COACH
Professional Counselor · Atlanta, GA
NPI number
1013670744
Active
Practice location
1040 W Marietta St NW
Atlanta, GA 30318-5218
Mailing address
2115 Piedmont Rd NE Apt 4108
Atlanta, GA 30324-4181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 052362191 (GA) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1013670744
Tinzley Juanita Bradford, WELLNESS COACH's National Provider Identifier is 1013670744, issued on Oct 19, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Oct 19, 2021.