Tabatha Bradley, LAC

NPI #1184468472 in Wynne, Arkansas

Provider Information

NPI Number: 1184468472
Entity Type: Individual
Name: Tabatha Bradley, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LAC
Enumeration Date: Jun 21, 2024
Last Updated: Jun 21, 2024

Practice Location

Address: 204 MISSISSIPPI ST S
City: Wynne
State: Arkansas
ZIP Code: 72396-3025
Phone: (870) 208-8499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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