Individual
BRADLEY LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3192 GLEN CANYON RD, SCOTTS VALLEY, CA 95066-4916
(831) 438-1868
(831) 438-2789
Mailing address
3600 GLEN CANYON RD, SCOTTS VALLEY, CA 95066-4923
(831) 438-1868
(831) 438-2789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A060541021
CA
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us