Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA BRADLEY, LCMHCA
Active Sole ProprietorJESSICA BRADLEY, LCMHCA is a Professional Counselor healthcare provider located in LAKE WACCAMAW, North Carolina. NPI 1518548577 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · LAKE WACCAMAW, NC
Registration Details
- NPI Number
- 1518548577
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2021 (5.3063724421261 yrs)
- Last Updated
- Apr 20, 2021
- License
-
A16116 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 EAST OLD US HWY 74/76LAKE WACCAMAW, NC, 28450Browse NC providers · Browse ZIP 28450
- Phone
- 9106463083
- Primary Specialty
-
Professional Counselor
101YP2500X
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.