Individual
MRS. SHELBI BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1989 PASS RD, BILOXI, MS 39531-4103
(228) 207-1248
Mailing address
1604 42ND AVE, GULFPORT, MS 39501-3832
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
08/11/2022
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