Individual provider · Type 1 NPI

Kevin Bradford, A.S. C.A.D.C

Addiction (Substance Use Disorder) Counselor · Ankeny, IA

NPI number 1114391828 Active

Practice location

1607 NW Prairie Lakes Dr, Unit 212
Ankeny, IA 50023-4819

Call (402) 840-7288 Map

Mailing address

1607 NW Prairie Lakes Dr.unit 212
Ankeny, IA 50023

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15094 (IA)

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

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About NPI 1114391828

Kevin Bradford, A.S. C.A.D.C's National Provider Identifier is 1114391828, issued on Nov 18, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ankeny, IA. The record was last updated on Nov 23, 2015.