Holli Virginia Bradham, CDCA - Counselor in Dayton, OH

Holli Virginia Bradham, CDCA is a Counselor - Addiction (substance Use Disorder) based in Dayton, Ohio. Holli Virginia Bradham is licensed to practice in Ohio (license number CDCA.170355) and her current practice location is 225 Maryland Ave, Dayton, Ohio. She can be reached at her office (for appointments etc.) via phone at (937) 212-8437.

NPI number for Holli Virginia Bradham is 1679138135 and her current mailing address is 225 Maryland Ave, Dayton, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679138135.

Contact Information

Holli Virginia Bradham, CDCA
225 Maryland Ave,
Dayton, OH 45404-1748
(937) 212-8437
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameHolli Virginia Bradham
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location225 Maryland Ave, Dayton, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679138135
  • Provider Enumeration Date: 05/09/2019
  • Last Update Date: 09/03/2019

Medical Identifiers

Medical identifiers for Holli Virginia Bradham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679138135NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) CDCA.170355 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holli Virginia Bradham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Holli Virginia Bradham, CDCA
225 Maryland Ave,
Dayton, OH 45404-1748

Ph: () -
Holli Virginia Bradham, CDCA
225 Maryland Ave,
Dayton, OH 45404-1748

Ph: (937) 212-8437

Reviews and Comments


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