Individual
JASON RANDLE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED, RN, CCRN, LPC
Contact information
Practice address
3951 S TILLMAN WAY, YUMA, AZ 85365-6717
(928) 246-3355
Mailing address
3951 S TILLMAN WAY, YUMA, AZ 85365-6717
(928) 246-3355
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10610
AZ
163WC0200X
Critical Care Medicine Registered Nurse
RN152146
AZ
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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