Individual provider · Type 1 NPI
Johnny Ray Bradley Jr.
Mental Health Counselor · Richmond, VA
NPI number
1124620554
Active
Practice location
1510 Willow Lawn Dr Ste 100D
Richmond, VA 23230-3429
Fax (833) 881-9200
Mailing address
4220 Rosedown Pl
Richmond, VA 23223-5860
Other practice locations
- 4220 Rosedown Pl, Richmond, VA 23223-5860 · (804) 512-0061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1124620554
Johnny Ray Bradley Jr.'s National Provider Identifier is 1124620554, issued on Nov 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, VA. The record was last updated on Nov 10, 2020.