Individual
MRS. VANESSA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC-MH
Contact information
Practice address
5305 S WESTERN AVE STE 524,, OKLAHOMA CITY, OK 73139-7701
(405) 695-0240
Mailing address
5305 S WESTERN AVE STE 524,, OKLAHOMA CITY, OK 73139-7701
(405) 695-0240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1494
OK
Other
Enumeration date
11/18/2014
Last updated
07/01/2025
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