# IRIS K BRADLEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689352833
- **Authorized official:** MS. IRIS K BRADLEY LICDC (CLINICAL DIRECTOR)
- **Authorized official phone:** (254) 226-0228

## Contact information

- **Practice address:** 12 W WENGER RD, ENGLEWOOD, OH 45322-2754
- **Practice address phone:** (254) 226-0228
- **Mailing address:** 7100 SALEM CROSSING PL, ENGLEWOOD, OH 45322-2568
- **Mailing address phone:** (254) 226-0228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2023
- **Last updated:** 07/07/2023