Individual
BRADLEY MICHAEL WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC-A
Contact information
Practice address
2732 ANN ELIZABETH DR, BURLINGTON, NC 27215-6650
(336) 229-5905
Mailing address
8321 NC HIGHWAY 700, RUFFIN, NC 27326-9369
(336) 340-2288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18071
NC
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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