Individual provider · Type 1 NPI
Bradley Wayne Shelton, LCADC
Addiction (Substance Use Disorder) Counselor · Baxter, KY
NPI number
1639922487
Active
Practice location
83 Pond Ln
Baxter, KY 40806-8313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 290092 (KY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1639922487
Bradley Wayne Shelton, LCADC's National Provider Identifier is 1639922487, issued on Apr 10, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baxter, KY. The record was last updated on Jun 11, 2025.