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Individual

DR. BRADLEY ALAN HEDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
624 E MAIN ST, LANCASTER, OH 43130-3903
(740) 475-0488
(740) 409-6976
Mailing address
624 E MAIN ST, LANCASTER, OH 43130-3903
(740) 475-0488
(740) 409-6976

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E1282-SUPV
OH
103TC1900X
Counseling Psychologist
Primary
4581
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0891816
OH
Enumeration date
05/14/2009
Last updated
07/15/2021
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