Individual provider · Type 1 NPI

Mija Bradshaw, SUDP

Addiction (Substance Use Disorder) Counselor · Lacey, WA

NPI number 1053138404 Active

Practice location

3925 8th Ave SE Ste A
Lacey, WA 98503-1122

Call (360) 923-9585 Map

Fax (888) 310-1691

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X00003745 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053138404

Mija Bradshaw, SUDP's National Provider Identifier is 1053138404, issued on Sep 25, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lacey, WA. The record was last updated on Sep 25, 2024.