Bradley, Jeanna

Bradley, Jeanna is an sole proprietor health care provider with primary practice located at 1238 W Main St , Mascoutah IL 62258-1060. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Bradley, Jeanna can be contacted via phone (618) 328-8008.

Contact Information

Primary practice address
1238 W Main St Mascoutah IL 62258-1060
Phone: (618) 328-8008
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1376081281
LBN Legal business name Bradley, Jeanna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2017
Last updated Feb 11th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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