Individual provider · Type 1 NPI

Edith Watkins Bradshaw

Mental Health Counselor · Tupelo, MS

NPI number 1063664571 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Call (662) 844-1717 Map

Fax (662) 680-5129

Mailing address

309 Cove St
West Point, MS 39773-2530

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1063664571

Edith Watkins Bradshaw's National Provider Identifier is 1063664571, issued on Oct 15, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Oct 15, 2008.