Individual provider · Type 1 NPI
Bradley Jack Beatty, LICDC-CS
Addiction (Substance Use Disorder) Counselor · Grove City, OH
NPI number
1669872107
Active
Practice location
3767 Richard Ave
Grove City, OH 43123-2417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 910395 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1669872107
Bradley Jack Beatty, LICDC-CS's National Provider Identifier is 1669872107, issued on Sep 3, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grove City, OH. The record was last updated on Sep 3, 2014.