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

Individual provider Professional Counselor · NPI 1699908434

Crystal D Bradshaw, LPC is a Professional Counselor in Marietta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2009
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3225 Shallowford Rd Ste 710 Ste 114 #203
Marietta, GA 30062
Phone: (770) 364-9005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC006953 (GA)

Record details

NPI number1699908434
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 27, 2009
Last updated in NPPESMarch 5, 2021
Certification dateFebruary 16, 2021
Mailing address12195 Highway 92, Suite 114 #203, Woodstock, GA 30188

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