Individual provider · Type 1 NPI

Bradford Dawson

Mental Health Counselor · Sullivan, IL

NPI number 1063003945 Active

Practice location

12 W Harrison St
Sullivan, IL 61951-1907

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063003945

Bradford Dawson's National Provider Identifier is 1063003945, issued on Feb 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sullivan, IL. The record was last updated on Feb 2, 2021.