Individual provider · Type 1 NPI

Karen Diane Bradshaw

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1093857666 Active

Practice location

1745 Enterprise Dr, Bldg. 2
Fairfield, CA 94533-5801

Call (707) 554-2397 Map

Mailing address

18 Daniels Ave # A
Vallejo, CA 94590-3036

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1093857666

Karen Diane Bradshaw's National Provider Identifier is 1093857666, issued on Feb 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.