Individual
MR. BRADLEY R TAYLOR SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4460 CORPORATION LN STE 300, VIRGINIA BEACH, VA 23462-3150
(757) 376-8167
(757) 452-4447
Mailing address
4460 CORPORATION LN STE 300, VIRGINIA BEACH, VA 23462-3150
(757) 376-8167
(757) 452-4447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102138
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000469
VA
101YP2500X
Professional Counselor
Primary
0701007601
VA
Other
Enumeration date
04/19/2018
Last updated
12/02/2025
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