Individual provider · Type 1 NPI
Crystal Lynn Bradford
Addiction (Substance Use Disorder) Counselor · Lexington Park, MD
NPI number
1366080533
Active
Practice location
21770 Fdr Blvd.
Lexington Park, MD 20653
Fax (301) 866-9182
Mailing address
325 Williams Rd
Prince Frederick, MD 20678-3541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1366080533
Crystal Lynn Bradford's National Provider Identifier is 1366080533, issued on Dec 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lexington Park, MD. The record was last updated on Dec 18, 2019.