Bradley, Jessica
Bradley, Jessica is an sole proprietor health care provider with primary practice located at 104 East Old Us Hwy 74/76 , Lake Waccamaw NC 28450. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bradley, Jessica can be contacted via phone (910) 646-3083.Contact Information
Primary practice address
104 East Old Us Hwy 74/76
Lake Waccamaw NC 28450
Phone: (910) 646-3083
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | A16116 | North Carolina |
Profile Details
| NPI number | 1518548577 |
|---|---|
| LBN Legal business name | Bradley, Jessica |
| Credentials | LCMHCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2021 |
| Last updated | Apr 20th, 2021 - about 5 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.
Popular Providers
-
Mcneil, Briyana
108 N Walnut St , Lake View SC 29563-3006 -
Cain, Lavon Tosha
675 N Matthews Rd , Lake City SC 29560-7027 -
Furner, Emmitt Maxwell
104 Lake Ave , Spring Lake NC 28390-3937 -
Swenseth, Megan Rebecca
224 4Th St Nw Ste 5 , Devils Lake ND 58301-2960 -
Allen, Christine
12 Executive Ct , Lake Wylie SC 29710-9338 -
Morrison, Arika
545 N Lakeshore Dr , Lake Junaluska NC 28745-9742 -
Smith, Julaine
416 Kundert St , Turtle Lake ND 58575-4205 -
Decoteau, Kerste
200 Highway 2 W , Devils Lake ND 58301-3532