Individual provider · Type 1 NPI

Tammy Bradshaw

Mental Health Counselor · San Bernardino, CA

NPI number 1720494909 Active

Practice location

1963 N E St
San Bernardino, CA 92405-3919

Fax (909) 881-0111

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720494909

Tammy Bradshaw's National Provider Identifier is 1720494909, issued on Jul 8, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Bernardino, CA. The record was last updated on Jul 8, 2014.