person
Angelia Pinckard Bradley, MEDLPCMHSP
Professional Counselor in Johnson City, Tennessee
NPI 1982708665

Angelia Pinckard Bradley is a Professional Counselor based in Johnson City, TN and is specialized in Professional. Angelia Pinckard Bradley practices in Johnson City, TN and has the professional credentials of MEDLPCMHSP. The NPI Number for Angelia Pinckard Bradley is 1982708665 and holds a License No. LPCMHSP2004 (Tennessee).

The current practice location address for Angelia Pinckard Bradley is 210 Joe Hale Dr, Johnson City, TN and can be reached out via phone at 423-677-7824. You can also correspond with Angelia Pinckard Bradley through the mailing address at 210 JOE HALE DR, JOHNSON CITY, TN - 37615-3866 (mailing address contact number: 423-677-7824).

Location: 210 Joe Hale Dr, Johnson City, TN, 37615-3866
person
Provider Profile Details
NPI Number
1982708665
Provider Name
Angelia Pinckard Bradley
Credential
MEDLPCMHSP
Provider Entity Type
Individual
Gender
Female
Address
210 Joe Hale Dr, Johnson City, TN, 37615-3866
Phone Number
423-677-7824
Fax Number
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
620582605 01 CARITEN PHP PPO
620582605 01 TRICARE SOUTH
620582605 01 THREE RIVERS PROVI GROUP
620582605 01 CORPHEALTH
620582605 01 INITIAL GROUP GROUP
620582605 01 CARITEN SENIOR PPO
620582605 01 CARITEN SENIOR HMO
4120940 01 MAGELLAN SUMMIT
010277582 01 VIRGINIA MEDICAID CTC
4120940 01 MAGELLAN NAVIGATOR
620582605 01 CARITEN PHP HMO
620582605 01 CARITEN PHP WORKCO
334969 01 VALUEOPTIONS GROUP
4120940 01 MAGELLAN PINNACLE
9427660 01 PHCS
620582605 01 CARITEN PHP POS
620582605 01 CARITEN PPO LEASE
institution
Provider Business Practice Location Address Details
Address
210 Joe Hale Dr
City
State
Zip
37615-3866
Phone Number
423-677-7824
Fax Number
person
Provider Business Mailing Address Details
Address
210 Joe Hale Dr
City
State
Zip
37615-3866
Phone Number
423-677-7824
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPCMHSP2004 (Tennessee)
Definition
Definition to come...
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