Individual
PROF. REMONE TERRELL BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2436 W ROESER RD, PHOENIX, AZ 85041-3601
(202) 779-7018
Mailing address
2436 W ROESER RD, PHOENIX, AZ 85041-3601
(202) 779-7018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-3078191
ACCHS
AZ
Enumeration date
12/08/2022
Last updated
12/08/2022
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