BENJAMIN BRADLEY LPC LAC NPI 1801551148

NPI Information

NPI: 1801551148
Provider Name: BENJAMIN BRADLEY, LPC, LAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
35 N ASH ST
CORTEZ, CO
ZIP 81321
Phone: (970) 565-4109
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Benjamin Bradley, LPC, LAC is a mental health counselor in Cortez, CO. Benjamin Bradley, LPC, LAC NPI is 1801551148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

35 N ASH ST
CORTEZ, CO
ZIP 81321-201
Phone: (970) 565-4109

The enumeration date for this NPI number is 11/2/2021 and was last updated on 11/2/2021.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ACD.0001664	COLORADO	No
2	101YM0800X	Counselor	Mental Health	LPC.0017238	COLORADO	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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