Jessica Bradley, LCMHCA
NPI #1518548577 in Lake Waccamaw, North Carolina
Provider Information
- NPI Number
- 1518548577
- Entity Type
- Individual
- Name
- Jessica Bradley, LCMHCA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCMHCA
- Enumeration Date
- Apr 20, 2021
- Last Updated
- Apr 20, 2021
Practice Location
- Address
- 104 EAST OLD US HWY 74/76
- City
- Lake Waccamaw
- State
- North Carolina
- ZIP Code
- 28450
- Phone
- (910) 646-3083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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