Bradley, Keana Rose

Bradley, Keana Rose is an individual health care provider with primary practice located at 1234 Empire St , Fairfield CA 94533-5711. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bradley, Keana Rose can be contacted via phone (707) 429-4440.

Contact Information

Primary practice address
1234 Empire St Fairfield CA 94533-5711
Phone: (707) 429-4440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 15412 California
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1518415140
LBN Legal business name Bradley, Keana Rose
Credentials MHRS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2016
Last updated Dec 30th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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