Individual
HOLLI VIRGINIA BRADHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
225 MARYLAND AVE, DAYTON, OH 45404-1748
(937) 212-8437
Mailing address
225 MARYLAND AVE, DAYTON, OH 45404-1748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.170355
OH
Other
Enumeration date
05/09/2019
Last updated
09/03/2019
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