Individual provider · Type 1 NPI

Bradie Brodhecker

Addiction (Substance Use Disorder) Counselor · Ontario, OR

NPI number 1508681610 Active

Practice location

279 SW 10th St
Ontario, OR 97914-2135

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508681610

Bradie Brodhecker's National Provider Identifier is 1508681610, issued on Nov 22, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ontario, OR. The record was last updated on Nov 22, 2024.