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

Mija Bradshaw, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053138404

Mija Bradshaw, SUDP is an Addiction (Substance Use Disorder) Counselor in Lacey, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024

Practice location Address checks out

3925 8th Ave SE Ste A
Lacey, WA 98503-1122
Phone: (360) 923-9585
Fax: (888) 310-1691
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 00003745 (WA)

Record details

NPI number1053138404
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDP
Sole proprietorNo
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address3925 8th Ave Se Ste A, Lacey, WA 98503-1122

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