MIJA BRADSHAW, SUDP

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1053138404

Practice Address

3925 8TH AVE SE STE A
Lacey, WA 98503

Phone: (360) 923-9585

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 00003745 (WA)

Frequently Asked Questions

NPI 1053138404 is the National Provider Identifier for MIJA BRADSHAW, SUDP, a Counselor - Addiction (Substance Use Disorder) provider located in Lacey, WA. This NPI was enumerated on September 25, 2024.
MIJA BRADSHAW, SUDP practices at 3925 8TH AVE SE STE A, Lacey, WA 98503.

Quick Facts

NPI
1053138404
Type
Individual
Enumerated
Sep 25, 2024
Last Updated
Sep 25, 2024

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