Derek Bradley

NPI 1609026673 - Counselor - 101YM0800X

NPI Details
NPI 1609026673
Gender Male
Enumeration Date 09/25/2008
Last Updated 09/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
201 W SPRINGDALE AVE
KNOXVILLE TN, 37917-5158, US
Phone (865) 329-9173
Fax
Business Location
201 W SPRINGDALE AVE
KNOXVILLE TN, 37917-5158, US
Phone (865) 329-9173
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Derek Bradley NPI is 1609026673, taxonomy code is 101YM0800X Derek Bradley physically located at 201 W Springdale Ave, Knoxville TN, 37917-5158. NPI Number Derek Bradley has the Individual type.

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1609026673 NPI number is provided on an as is basis without warranty of any kind. 1609026673 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Bradley are for informational purposes only.