Individual
CALLIE JO BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
404 PUBLIC SQ, COLUMBIA, KY 42728-1458
(270) 634-9346
Mailing address
404 PUBLIC SQ, COLUMBIA, KY 42728-1458
(270) 634-9346
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
295709
KY
Other
Enumeration date
10/03/2022
Last updated
01/10/2025
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