Individual
ANGELA KAY BRADFORD-HEIDORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
4601 BAYARD PARK DRIVE, EVANSVILLE, IN 47714
(812) 463-2910
(812) 463-2760
Mailing address
4601 BAYARD PARK DRIVE, EVANSVILLE, IN 47714
(812) 463-2910
(812) 463-2760
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000301A
IN
1041C0700X
Clinical Social Worker
Primary
34005632A
IN
Other
Enumeration date
09/01/2010
Last updated
11/16/2020
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