Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY LODGE
ActiveBRADLEY LODGE is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SCOTTS VALLEY, California. NPI 1922959790 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SCOTTS VALLEY, CA
Registration Details
- NPI Number
- 1922959790
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2026 (0.49455768172422 yrs)
- Last Updated
- Feb 6, 2026
- License
-
A060541021 (CA)
Practice Information
- Address
-
3192 GLEN CANYON RDSCOTTS VALLEY, CA, 950664916Browse CA providers · Browse ZIP 95066
- Phone
- 8314381868
- Fax
- 8314382789
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SCOTTS VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| TINA TAYLOR | — | 1295066314 |
| HECTOR ABUNDIZ | — | 1609735554 |
| ANDRES GALVAN | — | 1972462182 |
| RONALD STEVEN PRATT | — | 1477412625 |
| DAVID DELGADILLO-MORALES | — | 1821957077 |
| MADISON CHRISTINE ULRICH | — | 1730048984 |
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.