person
Diane K. Bradshaw, MS
Mental Health Counselor in Grimesland, North Carolina
NPI 1396912986

Diane K. Bradshaw is a Mental Health Counselor based in Grimesland, NC and is specialized in Mental Health. Diane K. Bradshaw practices in Grimesland, NC and has the professional credentials of MS. The NPI Number for Diane K. Bradshaw is 1396912986 and holds a License No. 7216 (North Carolina).

The current practice location address for Diane K. Bradshaw is 367 Great Forest Rd, Grimesland, NC and can be reached out via phone at 252-916-4613 and via fax at 252-328-4868.

Location: 367 Great Forest Rd, Grimesland, NC, 27837-9049
person
Provider Profile Details
NPI Number
1396912986
Provider Name
Diane K. Bradshaw
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
367 Great Forest Rd, Grimesland, NC, 27837-9049
Phone Number
252-916-4613
Fax Number
252-328-4868
Provider Enumeration Date
05/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11767847 01 PA CAQH
institution
Provider Business Practice Location Address Details
Address
367 Great Forest Rd
City
State
Zip
27837-9049
Phone Number
252-916-4613
Fax Number
252-328-4868
person
Provider Business Mailing Address Details
Address
367 Great Forest Rd
City
State
Zip
27837-9049
Phone Number
252-916-4613
Fax Number
252-328-4868
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
7216 (North Carolina)
Definition
Definition to come...
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