Individual provider · Type 1 NPI

Derrick Bradley, LPCC-S, LCADC

Professional Counselor · Corbin, KY

NPI number 1164284550 Active

Practice location

3265 Highway 26
Corbin, KY 40701-9047

Call (606) 555-1212 Map

Mailing address

3265 Highway 26 Ste C
Corbin, KY 40701-9047

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X167193 (KY)
Professional Counselor Primary 101YP2500X104136 (KY)

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About NPI 1164284550

Derrick Bradley, LPCC-S, LCADC's National Provider Identifier is 1164284550, issued on Jan 30, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Corbin, KY. The record was last updated on Jan 30, 2024.