person
Jessica Bradley, LCMHCA
Professional Counselor in Lake Waccamaw, North Carolina
NPI 1518548577

Jessica Bradley is a Professional Counselor based in Lake Waccamaw, NC and is specialized in Professional. Jessica Bradley practices in Lake Waccamaw, NC and has the professional credentials of LCMHCA. The NPI Number for Jessica Bradley is 1518548577 and holds a License No. A16116 (North Carolina).

The current practice location address for Jessica Bradley is 104 East Old Us Hwy 74/76, Lake Waccamaw, NC and can be reached out via phone at 910-646-3083.

Location: 104 East Old Us Hwy 74/76, Lake Waccamaw, NC, 28450-0127
person
Provider Profile Details
NPI Number
1518548577
Provider Name
Jessica Bradley
Credential
LCMHCA
Provider Entity Type
Individual
Gender
Female
Address
104 East Old Us Hwy 74/76, Lake Waccamaw, NC, 28450-0127
Phone Number
910-646-3083
Fax Number
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
104 East Old Us Hwy 74/76
City
State
Zip
28450
Phone Number
910-646-3083
Fax Number
person
Provider Business Mailing Address Details
Address
104 East Old Us Hwy 74/76
City
State
Zip
28450
Phone Number
910-646-3083
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
A16116 (North Carolina)
Definition
Definition to come...
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