Individual provider · Type 1 NPI

Heath Ray Bradley, LAC

Mental Health Counselor · Lowell, AR

NPI number 1275164782 Active

Practice location

515 Enterprise Dr Ste 300
Lowell, AR 72745-8982

Mailing address

6 Mayfair Ln
Bella Vista, AR 72715-5352

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1275164782

Heath Ray Bradley, LAC's National Provider Identifier is 1275164782, issued on Feb 3, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lowell, AR. The record was last updated on Feb 3, 2020.