Chauncey Bradford
Chauncey Bradford is a Peer Specialist in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2020.
- Licensed in
- AZ
- In the registry since
- 2020
Practice location Address checks out
1616 E Main St Ste 207A-1Mesa, AZ 85203-9071
Phone: (480) 477-9199
Fax: (480) 477-9199
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (AZ) |
|---|
Record details
| NPI number | 1508474917 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 21, 2020 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | July 21, 2020 |
| Mailing address | 1616 E Main St Ste 207a-1, Mesa, AZ 85203-9071 |
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