Mija Bradshaw, SUDP
NPI #1053138404 in Lacey, Washington
Provider Information
- NPI Number
- 1053138404
- Entity Type
- Individual
- Name
- Mija Bradshaw, SUDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDP
- Enumeration Date
- Sep 25, 2024
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 3925 8TH AVE SE STE A
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-1122
- Phone
- (360) 923-9585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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