Bradley, Randall Lee

Bradley, Randall Lee is an individual health care provider with primary practice located at 2845 Bell St , Zanesville OH 43701. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bradley, Randall Lee can be contacted via phone (740) 454-9766.

Contact Information

Primary practice address
2845 Bell St Zanesville OH 43701
Phone: (740) 454-9766
Fax: (740) 588-6452
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 081186 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C.0701120 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1800711 Ohio

Profile Details

NPI number 1528576766
LBN Legal business name Bradley, Randall Lee
Credentials LPCC, LCDCIII
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2018
Last updated Jun 4th, 2018 - about 8 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1528576766 NPPES
Ohio MEDICAID 0263277

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