Individual
BRADLEY BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC 1
Contact information
Practice address
88715 KNIGHT RD, VENETA, OR 97487-9469
(541) 284-5646
(541) 683-9061
Mailing address
88715 KNIGHT RD, VENETA, OR 97487-9469
(541) 284-5646
(541) 683-9061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13-13-08
OR
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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