Individual
JESSICA NICOLE BRADHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
7406 CHAPEL HILL RD STE GH, RALEIGH, NC 27607-5077
(919) 346-3204
Mailing address
129 OLIVEPARK DR, HOLLY SPRINGS, NC 27540-6224
(513) 407-2442
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
5032
NC
Other
Enumeration date
02/19/2018
Last updated
01/15/2025
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