Individual
MS. ANITA CARMEN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
2960B AUSTIN PEAY HWY, MEMPHIS, TN 38128-5602
(901) 372-7878
Mailing address
PO BOX 281601, MEMPHIS, TN 38168-0005
(901) 372-7878
(901) 373-9298
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000000688
TN
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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