GEORGE BRADLEY LPC - NPI 1992242440 - Counselor in Nacogdoches, TX

Q: What is George Bradley's NPI number?

The NPI number for George Bradley is 1992242440. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Q: What is George Bradley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for George Bradley was last updated on January 23, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About George Bradley Lpc NPPES

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

GEORGE BRADLEY LPC (NPI 1992242440) is an individual professional provider in Nacogdoches, Texas, licensed in Texas (15898) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1992242440

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameGEORGE BRADLEYCredential: LPC

Location Address3524 NE STALLINGS DRNacogdoches, TX 75965-8728

Mailing Address3524 Ne Stallings DriveNacogdoches, TX 75965 · (936) 645-8084

Phone(936) 560-6855

Fax(936) 564-5232

Sole ProprietorNo

Enumeration DateJanuary 23, 2017

✔ NPI 1992242440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 15898

3524 NE STALLINGS DR, Nacogdoches, TX 75965

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA MILLICAN COUNSELING PLLC

Counselor (Professional)