Individual provider · Type 1 NPI

McKinley Bradshaw, LPC

Professional Counselor · Eagle, ID

NPI number 1285568402 Active

Practice location

136 S Academy Ave
Eagle, ID 83616-6541

Mailing address

2116 S Dorothy Ave
Boise, ID 83706-4410

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1285568402

McKinley Bradshaw, LPC's National Provider Identifier is 1285568402, issued on Jun 11, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eagle, ID. The record was last updated on Jun 11, 2026.