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

Jessica Bradley, LCMHCA

Individual provider Professional Counselor · NPI 1518548577

Jessica Bradley, LCMHCA is a Professional Counselor in Lake Waccamaw, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

104 E Old US Hwy 74/76
Lake Waccamaw, NC 28450
Phone: (910) 646-3083
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A16116 (NC)

Record details

NPI number1518548577
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCA
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESApril 20, 2021
Certification dateMarch 17, 2021