| Diane K Bradshaw, MS | |
|
367 Great Forest Rd, Grimesland, NC 27837-9049 | |
| (252) 916-4613 | |
| (252) 328-4868 |
| Full Name | Diane K Bradshaw |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 367 Great Forest Rd, Grimesland, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396912986 | NPI | - | NPPES |
| 11767847 | Other | PA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7216 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diane K Bradshaw, MS 367 Great Forest Rd, Grimesland, NC 27837-9049 Ph: (252) 916-4613 | Diane K Bradshaw, MS 367 Great Forest Rd, Grimesland, NC 27837-9049 Ph: (252) 916-4613 |
Mr. Michael Na Daniels, LCAS LCSW CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2604 Winding Cv, Grimesland, NC 27837 Phone: 919-300-9338 | |
George Brian Harris, LCAS-A, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2812 Mobleys Bridge Rd, Grimesland, NC 27837 Phone: 252-321-7381 | |
Mrs. Ashleigh Wainright Ware, MS LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2348 Plumosa Dr, Grimesland, NC 27837 Phone: 252-493-6355 |