Bradley Lodge

NPI #1922959790 in Scotts Valley, California

Provider Information

NPI Number
1922959790
Entity Type
Individual
Name
Bradley Lodge
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Feb 6, 2026
Last Updated
Feb 6, 2026

Practice Location

Address
3192 GLEN CANYON RD
ZIP Code
95066-4916
Phone
(831) 438-1868

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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