Individual provider · Type 1 NPI

Jessica Bradley

Mental Health Counselor · Salt Lake City, UT

NPI number 1144864000 Active

Practice location

4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X9043805-6004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1144864000

Jessica Bradley's National Provider Identifier is 1144864000, issued on Nov 4, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 4, 2019.