Individual provider · Type 1 NPI
Cynthia E. Bradford, LICDC
Addiction (Substance Use Disorder) Counselor · Newark, OH
NPI number
1578821682
Active
Practice location
65 Messimer Dr
Newark, OH 43055-1874
Fax (740) 788-3424
Mailing address
PO Box 4670
Newark, OH 43058-4670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ICDC.976061 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1578821682
Cynthia E. Bradford, LICDC's National Provider Identifier is 1578821682, issued on Apr 26, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newark, OH. The record was last updated on Apr 26, 2012.