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Andrea Bullock Bradley, EDS,LPC
Professional Counselor in Columbia, South Carolina
NPI 1952551426

Andrea Bullock Bradley is a Professional Counselor based in Columbia, SC and is specialized in Professional. Andrea Bullock Bradley practices in Columbia, SC and has the professional credentials of EDS,LPC. The NPI Number for Andrea Bullock Bradley is 1952551426 and holds a License No. (South Carolina).

The current practice location address for Andrea Bullock Bradley is 4500 Fort Jackson Blvd Ste 110, Columbia, SC and can be reached out via phone at 803-216-1107.

Location: 4500 Fort Jackson Blvd Ste 110, Columbia, SC, 29209-1134
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Provider Profile Details
NPI Number
1952551426
Provider Name
Andrea Bullock Bradley
Credential
EDS,LPC
Provider Entity Type
Individual
Gender
Female
Address
4500 Fort Jackson Blvd Ste 110, Columbia, SC, 29209-1134
Phone Number
803-216-1107
Fax Number
Provider Enumeration Date
09/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PC1122 05 SC
institution
Provider Business Practice Location Address Details
Address
4500 Fort Jackson Blvd Ste 110
City
State
Zip
29209-1134
Phone Number
803-216-1107
Fax Number
person
Provider Business Mailing Address Details
Address
4500 Fort Jackson Blvd Ste 110
City
State
Zip
29209-1134
Phone Number
803-216-1107
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5277 (South Carolina)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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