Individual provider · Type 1 NPI

Bradley Michael Waddell, LCMHC-A

Mental Health Counselor · Burlington, NC

NPI number 1558083204 Active

Practice location

2732 Ann Elizabeth Dr
Burlington, NC 27215-6650

Call (336) 229-5905 Map

Mailing address

8321 Nc Highway 700
Ruffin, NC 27326-9369

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA18071 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1558083204

Bradley Michael Waddell, LCMHC-A's National Provider Identifier is 1558083204, issued on Sep 19, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burlington, NC. The record was last updated on Sep 19, 2022.