Individual
GABRIELLE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
4488 W BROAD ST, COLUMBUS, OH 43228-5610
(614) 639-5494
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162825
OH
104100000X
Social Worker
S.2511896
OH
Other
Enumeration date
03/11/2019
Last updated
05/28/2025
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