Individual
BRADLEY ALLEN WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
WATTERS CENTER FOR FAMILY LIFE, 1-3358 KNOX STREET, FORT BRAGG, NC 28310-5000
(910) 396-6564
Mailing address
885 FREDONIA DR, FAYETTEVILLE, NC 28311-9333
(910) 485-3765
(910) 396-3826
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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