Individual provider · Type 1 NPI
Samuel Cody Bradshaw
Mental Health Counselor · San Diego, CA
NPI number
1770808024
Active
Practice location
9445 Farnham St
San Diego, CA 92123-1308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1770808024
Samuel Cody Bradshaw's National Provider Identifier is 1770808024, issued on Mar 30, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Mar 30, 2010.