MR. DERRICK BRADLEY, LPCC-S, LCADC
Counselor - Professional
Active
Individual
NPI: 1164284550
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 167193 (KY) |
| Counselor - Professional | 101YP2500X | Yes | 104136 (KY) |
Frequently Asked Questions
NPI 1164284550 is the National Provider Identifier for MR. DERRICK BRADLEY, LPCC-S, LCADC, a Counselor - Professional provider located in Corbin, KY. This NPI was enumerated on January 30, 2024.
MR. DERRICK BRADLEY, LPCC-S, LCADC practices at 3265 HIGHWAY 26, Corbin, KY 40701.
Quick Facts
- NPI
- 1164284550
- Type
- Individual
- Enumerated
- Jan 30, 2024
- Last Updated
- Jan 30, 2024
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