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J. Bradley House
Professional Counselor in Columbus, Ohio
NPI 1821422403

J. Bradley House is a Professional Counselor based in Detroit, OH and is specialized in Professional. J. Bradley House practices in Columbus, OH. The NPI Number for J. Bradley House is 1821422403 and holds a License No. (Ohio).

The current practice location address for J. Bradley House is 495 E Main St, Columbus, OH and can be reached out via phone at 614-355-8695 and via fax at 614-355-8620.

Location: 495 E Main St, Columbus, OH, 48278-1625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821422403
Provider Name
J. Bradley House
Credential
Provider Entity Type
Individual
Gender
Male
Address
495 E Main St, Columbus, OH, 48278-1625
Phone Number
614-355-8695
Fax Number
614-355-8620
Provider Enumeration Date
08/30/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2846675 05 OH
institution
Provider Business Practice Location Address Details
Address
495 E Main St
City
Columbus
State
Ohio
Zip
43215-5349
Phone Number
614-355-8695
Fax Number
614-355-8620
person
Provider Business Mailing Address Details
Address
495 E Main St
City
Columbus
State
Ohio
Zip
43215-5349
Phone Number
614-355-8695
Fax Number
614-355-8620
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C.1300440 (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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