BLAIRE BRADBURY LAC NPI 1568069169

NPI Information

NPI: 1568069169
Provider Name: BLAIRE BRADBURY, LAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1466 N DESOTO PL
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 544-1202
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Blaire Bradbury, LAC is a professional counselor in Fayetteville, AR. Blaire Bradbury, LAC NPI is 1568069169. 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:

1466 N DESOTO PL
FAYETTEVILLE, AR
ZIP 72703-953
Phone: (479) 544-1202

The enumeration date for this NPI number is 10/6/2020 and was last updated on 10/6/2020.

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	101YP2500X	Counselor	Professional	A2009127	ARKANSAS	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: 11/14/2023

NPI Synchronization or Removal

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