Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley Lodge

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1922959790

Bradley Lodge is an Addiction (Substance Use Disorder) Counselor in Scotts Valley, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

3192 Glen Canyon Rd
Scotts Valley, CA 95066-4916
Phone: (831) 438-1868
Fax: (831) 438-2789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence A060541021 (CA)

Record details

NPI number1922959790
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 6, 2026
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address3600 Glen Canyon Rd, Scotts Valley, CA 95066-4923

Other providers in Scotts Valley