Individual provider · Type 1 NPI
Jackie Faye Bradley, M.ED.
Professional Counselor · Port Arthur, TX
NPI number
1871930149
Active
Practice location
7980 Anchor Dr Bldg 500
Port Arthur, TX 77642-8285
Fax (409) 727-6403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 70692 (TX) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1871930149
Jackie Faye Bradley, M.ED.'s National Provider Identifier is 1871930149, issued on May 28, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Port Arthur, TX. The record was last updated on May 28, 2013.