Individual
BRIAN M BRADIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCASA
Contact information
Practice address
631 BRAWLEY SCHOOL RD, STE 200B, PMB301, MOORESVILLE, NC 28117-6204
(704) 884-2060
(704) 854-4860
Mailing address
2505 COURT DR, GASTONIA, NC 28054-2140
(704) 476-4106
(704) 845-4860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3042A
NC
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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