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Individual

BRADLEY TAPSCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SUDP

Contact information

Practice address
1101 W COLLEGE AVE, SPOKANE, WA 99201-2010
(509) 324-1420
Mailing address
1101 W COLLEGE AVE, SPOKANE, WA 99201-2010

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60892943
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61112875
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CO60892943
WA
Enumeration date
10/17/2019
Last updated
02/01/2021
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