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NPI Profile for RANDALL L BRADLEY in ZANESVILLE, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Mental Health |
101YM0800X |
| NPI # | 1528576766 |
|
| Status | Active | |
| Credentials | LPCC, LCDCIII | |
| Entity | Individual | |
| Enumeration date | 01/22/2018 | |
| Last updated | 06/04/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RANDALL L BRADLEY
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RANDALL L BRADLEY, LPCC, LCDCIII