Rachel Christine Bradley, LMHC

Individual provider Active NPI Mental Health Counselor · Scotia, NY

NPI 1104645381 · NPPES record last updated Oct 7, 2024

Key facts

NPI
1104645381
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
014869 (NY)
Practice address
110 6TH St
Scotia, NY 12302-1920
Phone
(518) 588-5047
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
014869NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 014869 NY Yes

Addresses

Primary practice location

110 6TH St
Scotia, NY 12302-1920

Mailing address

110 6TH St
Scotia, NY 12302-1920
Phone (518) 588-5047

Other providers in Scotia, NY

All providers in Scotia, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.