Individual provider · Type 1 NPI

Jermayne Terrell Bradford

Mental Health Counselor · Baton Rouge, LA

NPI number 1396267738 Active

Practice location

8786 Goodwood Blvd
Baton Rouge, LA 70806-7917

Mailing address

6894 Vineyard Dr
Baton Rouge, LA 70812-2151

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396267738

Jermayne Terrell Bradford's National Provider Identifier is 1396267738, issued on Jul 7, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 7, 2017.