Individual provider · Type 1 NPI

Kelley D. Bradshaw

Counselor · Dorchester, MA

NPI number 1063383354 Active

Practice location

895 Blue Hill Ave
Dorchester, MA 02124-2902

Call (617) 506-8188 Map

Mailing address

11 Parker St
Hyde Park, MA 02136-3810

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063383354

Kelley D. Bradshaw's National Provider Identifier is 1063383354, issued on Sep 17, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Dorchester, MA. The record was last updated on Sep 17, 2025.