Individual provider · Type 1 NPI
Victoria-Deva Bradshaw
Mental Health Counselor · San Diego, CA
NPI number
1114805389
Active
Practice location
2251 San Diego Ave Ste A150
San Diego, CA 92110-2983
Mailing address
1664 Broadway
El Cajon, CA 92021-5201
Other practice locations
- 1664 Broadway, El Cajon, CA 92021-5201 · (619) 579-8685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | APCC24383 (CA) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1114805389
Victoria-Deva Bradshaw's National Provider Identifier is 1114805389, issued on Aug 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Nov 2, 2026.