Individual provider · Type 1 NPI

Shirley Dian Bradshaw, L.M.H.C.

Mental Health Counselor · Satellite Beach, FL

NPI number 1679899744 Active

Practice location

1127 S Patrick Dr, #24
Satellite Beach, FL 32937-3939

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 9333 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1679899744

Shirley Dian Bradshaw, L.M.H.C.'s National Provider Identifier is 1679899744, issued on Apr 14, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Satellite Beach, FL. The record was last updated on Jun 26, 2010.