Individual provider · Type 1 NPI
Jacqueline Bridges
Addiction (Substance Use Disorder) Counselor · Memphis, TN
NPI number
1205220464
Active
Practice location
315 Dr. Martin Luther King Dr.
Memphis, TN 38104
Mailing address
315 Dr Martin Luther King Dr
Memphis, TN 38104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Pastoral Counselor | 101YP1600X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1205220464
Jacqueline Bridges's National Provider Identifier is 1205220464, issued on Mar 26, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Memphis, TN. The record was last updated on Mar 26, 2015.