Individual provider · Type 1 NPI

Keith Allen Bradshaw

Counselor · Mount Pleasant, UT

NPI number 1457761652 Active

Practice location

18750 N 6750 E
Mount Pleasant, UT 84647-2309

Call (801) 375-4240 Map

Fax (801) 375-4241

Mailing address

619 N 500 W
Provo, UT 84601-1547

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1457761652

Keith Allen Bradshaw's National Provider Identifier is 1457761652, issued on Apr 28, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mount Pleasant, UT. The record was last updated on Apr 28, 2014.