Individual provider · Type 1 NPI
Blaire Bradbury, LAC
Professional Counselor · Fayetteville, AR
NPI number
1568069169
Active
Practice location
1466 N Desoto Pl
Fayetteville, AR 72703-1953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | A2009127 (AR) |
Professional Counselor: Definition to come...
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About NPI 1568069169
Blaire Bradbury, LAC's National Provider Identifier is 1568069169, issued on Oct 6, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 6, 2020.