Individual
MS. MEKEISHA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO, CMA
Contact information
Practice address
6900 SIX FORKS RD STE 102, RALEIGH, NC 27615-6427
(919) 926-9255
(919) 741-5865
Mailing address
6900 SIX FORKS RD STE 102, RALEIGH, NC 27615-6427
(919) 900-7145
(919) 741-5865
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1660
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
27601
NC
101YM0800X
Mental Health Counselor
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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