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Elisa K Bradley
Professional Counselor in Lima, Ohio
NPI 1003695776

Elisa K Bradley is a Professional Counselor based in Lima, OH and is specialized in Professional. Elisa K Bradley practices in Lima, OH. The NPI Number for Elisa K Bradley is 1003695776 and holds a License No. C.2305414 (Ohio).

The current practice location address for Elisa K Bradley is 2963 Blue Jacket Ct, Lima, OH and can be reached out via phone at 567-825-1192.

Location: 2963 Blue Jacket Ct, Lima, OH, 45805-2654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003695776
Provider Name
Elisa K Bradley
Credential
Provider Entity Type
Individual
Gender
Female
Address
2963 Blue Jacket Ct, Lima, OH, 45805-2654
Phone Number
567-825-1192
Fax Number
Provider Enumeration Date
09/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2963 Blue Jacket Ct
City
Lima
State
Ohio
Zip
45806-1464
Phone Number
567-825-1192
Fax Number
person
Provider Business Mailing Address Details
Address
2963 Blue Jacket Ct
City
Lima
State
Ohio
Zip
45806-1464
Phone Number
567-825-1192
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C.2305414 (Ohio)
Definition
Definition to come...
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