Individual provider · Type 1 NPI

Jewell Douglas Bradford

Peer Specialist · Wasilla, AK

NPI number 1063136570 Active

Practice location

1363 W Spruce Ave
Wasilla, AK 99654-5327

Mailing address

PO Box 870591
Wasilla, AK 99687-0591

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1063136570

Jewell Douglas Bradford's National Provider Identifier is 1063136570, issued on Sep 28, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wasilla, AK. The record was last updated on Sep 28, 2022.