Individual
DAKOTA SHAWN BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 TOLLEY DR, BRIDGEPORT, WV 26330-1668
(865) 378-6929
Mailing address
115 CRESTVIEW TER APT 4, BRIDGEPORT, WV 26330-1092
(304) 651-7081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
12/11/2023
Last updated
04/06/2026
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