MS. MARY BRADLEY CG60735677 NPI 1568934420

NPI Information

  • NPI: 1568934420
  • Provider Name: MS. MARY BRADLEY, CG60735677
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 2422 96TH ST S APT J105
    TACOMA, WA
    ZIP 98444
  • Phone: (805) 217-5654

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NPI Details

MS. Mary Bradley, CG60735677 is a peer specialist in Tacoma, WA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MS. Mary Bradley, CG60735677 NPI is 1568934420. 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:

2422 96TH ST S APT J105
TACOMA, WA
ZIP 98444-782
Phone: (805) 217-5654

The enumeration date for this NPI number is 12/17/2018 and was last updated on 7/22/2022.

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
1101YM0800XCounselorMental HealthCG60735677WASHINGTONNo
2175T00000XPeer SpecialistCG60735677WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CG60735677MEDICAIDWASHINGTON

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: 11/21/2025

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