person
Jesse M Bradberry, LPCC
Professional Counselor in Louisville, Kentucky
NPI 1770148629

Jesse M Bradberry is a Professional Counselor based in Louisville, KY and is specialized in Professional. Jesse M Bradberry practices in Louisville, KY and has the professional credentials of LPCC. The NPI Number for Jesse M Bradberry is 1770148629 and holds a License No. 247680 (Kentucky).

The current practice location address for Jesse M Bradberry is 3027 Preston Hwy, Louisville, KY and can be reached out via phone at 502-653-7211 and via fax at 502-416-0723.

Location: 3027 Preston Hwy, Louisville, KY, 40207-3868
person
Provider Profile Details
NPI Number
1770148629
Provider Name
Jesse M Bradberry
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
3027 Preston Hwy, Louisville, KY, 40207-3868
Phone Number
502-653-7211
Fax Number
502-416-0723
Provider Enumeration Date
05/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100593740 05 KY
institution
Provider Business Practice Location Address Details
Address
3027 Preston Hwy
City
State
Zip
40217-1716
Phone Number
502-653-7211
Fax Number
502-416-0723
person
Provider Business Mailing Address Details
Address
3027 Preston Hwy
City
State
Zip
40217-1716
Phone Number
502-653-7211
Fax Number
502-416-0723
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
247680 (Kentucky)
Definition
Definition to come...
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