Individual
BRADLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LADAC II
Contact information
Practice address
330 PENNINGTON CENTRE BLVD APT 206, NASHVILLE, TN 37214-3253
(615) 362-1387
Mailing address
330 PENNINGTON CENTRE BLVD APT 206, NASHVILLE, TN 37214-3253
(615) 362-1387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1606
TN
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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