Individual provider · Type 1 NPI

Travis Matthew Bradey

Professional Counselor · Statesville, NC

NPI number 1316360415 Active

Practice location

209 Barium Springs Dr
Statesville, NC 28677-8454

Fax (701) 832-2253

Mailing address

PO Box 1
Barium Springs, NC 28010-0001

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XA9603 (NC)
Professional Counselor Primary 101YP2500XA9603 (NC)

Professional Counselor: Definition to come...

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About NPI 1316360415

Travis Matthew Bradey's National Provider Identifier is 1316360415, issued on Jan 24, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Statesville, NC. The record was last updated on Jan 24, 2014.