Individual
MRS. JONI LEE BRADBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W JACKSON BLVD, ELKHART, IN 46516-3019
(574) 522-3888
Mailing address
116 W JACKSON BLVD, ELKHART, IN 46516-3019
(574) 522-3888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005952A
IN
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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