Individual
JESSIE JAMES BRADLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 N STYGLER RD, GAHANNA, OH 43230-2457
(614) 378-5629
Mailing address
200 N STYGLER RD, GAHANNA, OH 43230-2457
(614) 378-5629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
UM377347
OH
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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