person
Mr. Derrick Bradley, LPCC-S,LCADC
Professional Counselor in Corbin, Kentucky
NPI 1164284550

Derrick Bradley is a Professional Counselor based in Corbin, KY and is specialized in Professional. Derrick Bradley practices in Corbin, KY and has the professional credentials of LPCC-S,LCADC. The NPI Number for Derrick Bradley is 1164284550 and holds a License No. 167193 (Kentucky).

The current practice location address for Derrick Bradley is 3265 Highway 26, Corbin, KY and can be reached out via phone at 606-555-1212.

Location: 3265 Highway 26, Corbin, KY, 40701-9047
person
Provider Profile Details
NPI Number
1164284550
Provider Name
Derrick Bradley
Credential
LPCC-S,LCADC
Provider Entity Type
Individual
Gender
Male
Address
3265 Highway 26, Corbin, KY, 40701-9047
Phone Number
606-555-1212
Fax Number
Provider Enumeration Date
01/30/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3265 Highway 26
City
State
Zip
40701-9047
Phone Number
606-555-1212
Fax Number
person
Provider Business Mailing Address Details
Address
3265 Highway 26
City
State
Zip
40701-9047
Phone Number
606-555-1212
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
104136 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
167193 (Kentucky)
Definition
Definition to come...
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