Individual
JASON A BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 401-4443
Mailing address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 401-4443
(315) 401-4443
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CRPA-P-8950
NY
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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