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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DERRICK BRADLEY, LPCC-S, LCADC

Active Sole Proprietor

MR. DERRICK BRADLEY, LPCC-S, LCADC is a Professional Counselor healthcare provider located in CORBIN, Kentucky. NPI 1164284550 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CORBIN, KY

Registration Details

NPI Number
1164284550
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2024 (2.5683705373032 yrs)
Last Updated
Jan 30, 2024
Licenses
167193 (KY)
104136 (KY)
Sole Proprietor
Yes

Practice Information

Address
3265 HIGHWAY 26
CORBIN, KY, 407019047
Browse KY providers · Browse ZIP 40701
Phone
6065551212
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in CORBIN, KY

Name Credential NPI
CYNTHIA M COSCIA LPCC 1104043991
WILLIAM AARON STEVENS LPCC 1871714972
MS. DONNA ALLENA TREECE-PAUL M.ED, LPCC 1942412796
SARAH LUCY WRIGHT LPCC 1588801369
LISA F CLARK LPCC 1366689895
NATHAN AARON YADEN BS 1467759720
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.