Individual provider · Type 1 NPI

Brad Terry

Addiction (Substance Use Disorder) Counselor · Victorville, CA

NPI number 1972963759 Active

Practice location

16248 Victor St
Victorville, CA 92395-3934

Fax (760) 952-1432

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1223870316 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972963759

Brad Terry's National Provider Identifier is 1972963759, issued on Mar 7, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Victorville, CA. The record was last updated on Mar 7, 2016.