Individual provider · Type 1 NPI
Holli Virginia Bradham, CDCA
Addiction (Substance Use Disorder) Counselor · Dayton, OH
NPI number
1679138135
Active
Practice location
225 Maryland Ave
Dayton, OH 45404-1748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.170355 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1679138135
Holli Virginia Bradham, CDCA's National Provider Identifier is 1679138135, issued on May 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Sep 3, 2019.