Individual provider · Type 1 NPI
Jessica Renee Bradley, TCADC
Addiction (Substance Use Disorder) Counselor · Shelbyville, KY
NPI number
1467063362
Active
Practice location
30 Stonecrest Ct Ste 100
Shelbyville, KY 40065-8128
Mailing address
2391 Sir Barton Way Apt 1305
Lexington, KY 40509-2566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 247309 (KY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1467063362
Jessica Renee Bradley, TCADC's National Provider Identifier is 1467063362, issued on Aug 13, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shelbyville, KY. The record was last updated on Aug 13, 2020.