JESSICA BRADLEY NPI 1144864000

NPI Information

NPI: 1144864000
Provider Name: JESSICA BRADLEY
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT
ZIP 84124
Phone: (888) 949-4864
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Jessica Bradley is a mental health counselor in Salt Lake City, UT. Jessica Bradley NPI is 1144864000. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT
ZIP 84124-550
Phone: (888) 949-4864

The enumeration date for this NPI number is 11/4/2019 and was last updated on 11/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	9043805-6004	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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