Individual
KEVIN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.S. C.A.D.C
Contact information
Practice address
1607 NW PRAIRIE LAKES DR, UNIT 212, ANKENY, IA 50023-4819
(402) 840-7288
Mailing address
1607 NW PRAIRIE LAKES DR.UNIT 212, ANKENY, IA 50023
(402) 840-7288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15094
IA
Other
Enumeration date
11/18/2015
Last updated
11/23/2015
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