Mr. Derrick Bradley, LPCC-S, LCADC
Mr. Derrick Bradley, LPCC-S, LCADC is an Addiction (Substance Use Disorder) Counselor in Corbin, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3265 Highway 26Corbin, KY 40701-9047
Phone: (606) 555-1212
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 104136 (KY) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 167193 (KY) |
Record details
| NPI number | 1164284550 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPCC-S , LCADC |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2024 |
| Last updated in NPPES | January 30, 2024 |
| Certification date | January 30, 2024 |
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