Individual provider · Type 1 NPI

Taila Bradshaw, CSWA

Mental Health Counselor · Grants Pass, OR

NPI number 1205769189 Active

Practice location

320 SW Ramsey Ave
Grants Pass, OR 97527-5529

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA17993 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1205769189

Taila Bradshaw, CSWA's National Provider Identifier is 1205769189, issued on Jun 8, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Jun 8, 2026.