Jewell Douglas Bradford - Wasilla, AK

Jewell Douglas Bradford

Peer Specialist in Wasilla, Alaska

NPI 1063136570

Jewell Douglas Bradford is a Peer Specialist based in Wasilla, AK. Jewell Douglas Bradford practices in Wasilla, AK. The NPI Number for Jewell Douglas Bradford is 1063136570 and holds a License No. (Alaska).

The current practice location address for Jewell Douglas Bradford is 1363 W Spruce Ave, Wasilla, AK and can be reached out via phone at 907-376-2411.

Location: 1363 W Spruce Ave, Wasilla, AK, 99687-0591

NPI Number

1063136570

Provider Name

Jewell Douglas Bradford

Credential

Provider Entity Type

Individual

Gender

Male

Address

1363 W Spruce Ave, Wasilla, AK, 99687-0591

Phone Number

907-376-2411

Fax Number

Provider Enumeration Date

09/28/2022

Last Update Date

03/10/2024

Address

1363 W Spruce Ave

City

Wasilla

State

Alaska

Zip

99654-5327

Phone Number

907-376-2411

Fax Number

Address

1363 W Spruce Ave

City

Wasilla

State

Alaska

Zip

99654-5327

Phone Number

907-376-2411

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

()

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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