Individual
BRADLEY WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 HEREFORD CURVE ROAD, JAMESTOWN, KY 42629-4262
(270) 343-4108
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782
(606) 678-5296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302027
KY
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/20/2023
Last updated
05/05/2026
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