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 3 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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