Individual
SHAINA NICOLE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
300 NE 14TH ST, WASHINGTON, IN 47501-2137
(812) 254-2760
(812) 254-4801
Mailing address
1115 EVERETT LN, WASHINGTON, IN 47501-8403
(812) 698-9333
(812) 254-4801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IN
101YM0800X
Mental Health Counselor
Primary
33011500A
IN
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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