Individual
BRAD FITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4405 PADRE BLVD, SOUTH PADRE ISLAND, TX 78597-7324
(956) 299-4712
Mailing address
4405 PADRE BLVD, SOUTH PADRE ISLAND, TX 78597-7324
(956) 299-4712
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56894
—
TX
Enumeration date
06/24/2020
Last updated
06/24/2020
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