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Jacob Bradford, LMHC-A
Mental Health Counselor in Marion, Indiana
NPI 1982362448

Jacob Bradford is a Mental Health Counselor based in Muncie, IN and is specialized in Mental Health. Jacob Bradford practices in Marion, IN and has the professional credentials of LMHC-A. The NPI Number for Jacob Bradford is 1982362448 and holds a License No. (Indiana).

The current practice location address for Jacob Bradford is 323 E 2Nd St, Marion, IN and can be reached out via phone at 765-573-5567 and via fax at 765-741-0359. You can also correspond with Jacob Bradford through the mailing address at 240 N TILLOTSON AVE, MUNCIE, IN - 47304-3988 (mailing address contact number: 765-288-1928).

Location: 323 E 2Nd St, Marion, IN, 47304-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982362448
Provider Name
Jacob Bradford
Credential
LMHC-A
Provider Entity Type
Individual
Gender
Male
Address
323 E 2Nd St, Marion, IN, 47304-3988
Phone Number
765-573-5567
Fax Number
765-741-0359
Provider Enumeration Date
12/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
323 E 2Nd St
City
Marion
State
Indiana
Zip
46952-3871
Phone Number
765-573-5567
Fax Number
765-741-0359
person
Provider Business Mailing Address Details
Address
240 N Tillotson Ave
City
Muncie
State
Indiana
Zip
47304-3988
Phone Number
765-288-1928
Fax Number
765-741-0335
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
99111834A (Indiana)
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
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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