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Individual

BRADFORD LAVOID SOUTHERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1521 RAINBOW DR, GADSDEN, AL 35901-5395
(256) 459-8255
Mailing address
272 SPRING RD, OHATCHEE, AL 36271-9345
(256) 459-8255

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
4619
AL
101YM0800X
Mental Health Counselor
4619
AL
101YM0800X
Mental Health Counselor
C3519A
AL
101YM0800X
Mental Health Counselor
Primary
AL
101YP2500X
Professional Counselor
4619
AL

Other

Enumeration date
04/17/2020
Last updated
05/01/2026
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