Individual provider · Type 1 NPI

Paul L. Bradford, ACSW

Mental Health Counselor · Fairfield, CA

NPI number 1629613575 Active

Practice location

275 Beck Ave
Fairfield, CA 94533-6804

Call (707) 784-8501 Map

Fax (707) 428-6542

Mailing address

2213 Christiansen Cir
Woodland, CA 95776-5588

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800X217453 (CA)
Clinical Social Worker 1041C0700X217453 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1629613575

Paul L. Bradford, ACSW's National Provider Identifier is 1629613575, issued on Nov 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, CA. The record was last updated on Dec 28, 2021.