Individual
DR. BRADLEY WAYNE LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD MS LMHC CAP
Contact information
Practice address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1836
(850) 469-3500
(850) 595-1400
Mailing address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1836
(850) 469-3500
(850) 595-1400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 2585
FL
101YM0800X
Mental Health Counselor
Primary
MH8489
FL
Other
Enumeration date
09/11/2006
Last updated
11/23/2022
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