DOUG L BRADLEY - NPI 1649312281 - Counselor in Bowling Green, KY

Q: What is Doug Bradley's NPI number?

The NPI number for Doug Bradley is 1649312281. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Doug Bradley's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Doug Bradley was last updated on April 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Doug L Bradley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUG L BRADLEY (NPI 1649312281) is an individual counselor in Bowling Green, Kentucky, licensed in Kentucky (0037) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1649312281

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameDOUG L BRADLEY

Location Address380 SUWANNEE TRAIL STREETBowling Green, KY 42103

Mailing Address370 Thompson Heights DrBowling Green, KY 42101-6318 · (270) 901-5000

Phone(270) 901-5000

Fax(270) 842-5268

Sole ProprietorNo

Enumeration DateFebruary 12, 2007

Last NPPES UpdateApril 4, 2008

✔ NPI 1649312281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in KY · 0037

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

380 SUWANNEE TRAIL STREET, Bowling Green, KY 42103

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