Jessica Bradley, LCMHCA is a
Counselor - Professional based in Lake Waccamaw, North Carolina. Jessica Bradley is licensed to practice in North Carolina (license number A16116) and her current practice location is
104 East Old Us Hwy 74/76, Lake Waccamaw, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 646-3083.
NPI number for Jessica Bradley is 1518548577 and her current mailing address is Po Box 127, Lake Waccamaw, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518548577.
Healthcare Provider's Profile
Full Name | Jessica Bradley |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 104 East Old Us Hwy 74/76, Lake Waccamaw, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518548577
- Provider Enumeration Date: 04/20/2021
- Last Update Date: 04/20/2021
Medical Identifiers
Medical identifiers for Jessica Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518548577 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | A16116 (North Carolina) | 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. Jessica Bradley 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 Address | Practice Location Address |
Jessica Bradley, LCMHCA Po Box 127, Lake Waccamaw, NC 28450-0127 Ph: (910) 646-3083 | Jessica Bradley, LCMHCA 104 East Old Us Hwy 74/76, Lake Waccamaw, NC 28450 Ph: (910) 646-3083 |
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