Individual
MELISSA LUELLE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
549 COX RD, GASTONIA, NC 28054-0628
(980) 257-2709
(980) 292-8038
Mailing address
500 ARCHDALE DR, CHARLOTTE, NC 28217-4217
(704) 865-1558
(980) 292-8038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29183
NC
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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