person
Bradley R Taylor SR.
Professional Counselor in Virginia Beach, Virginia
NPI 1609363126

Bradley R Taylor SR. is a Professional Counselor based in Virginia Beach, VA and is specialized in Professional. Bradley R Taylor SR. practices in Virginia Beach, VA. The NPI Number for Bradley R Taylor SR. is 1609363126 and holds a License No. 0718000469 (Virginia).

The current practice location address for Bradley R Taylor SR. is 4360 Shore Dr Ste 101, Virginia Beach, VA and can be reached out via phone at 757-251-0879 and via fax at 984-220-9437.

Location: 4360 Shore Dr Ste 101, Virginia Beach, VA, 23452-7805
person
Provider Profile Details
NPI Number
1609363126
Provider Name
Bradley R Taylor SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
4360 Shore Dr Ste 101, Virginia Beach, VA, 23452-7805
Phone Number
757-251-0879
Fax Number
984-220-9437
Provider Enumeration Date
04/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4360 Shore Dr Ste 101
City
State
Zip
23455-2994
Phone Number
757-251-0879
Fax Number
984-220-9437
person
Provider Business Mailing Address Details
Address
4360 Shore Dr Ste 101
City
State
Zip
23455-2994
Phone Number
757-251-0879
Fax Number
984-220-9437
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0710102138 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0718000469 (Virginia)
Definition
Definition to come...
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