Individual
MS. JESSICA RENEE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
30 STONECREST CT STE 100, SHELBYVILLE, KY 40065-8128
(502) 437-0859
Mailing address
2391 SIR BARTON WAY APT 1305, LEXINGTON, KY 40509-2566
(859) 475-4009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
247309
KY
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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