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NPI Code Detail

MEDICARE: BRADFORD J WILLIAMS

MEDICARE: BRADFORD J WILLIAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1346840444
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADFORD J WILLIAMS
Provider Business Mailing Address
First Line : 9418 BROOKLINE AVE STE C
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1428
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 624 S 16TH ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-4011
Country : US
Telephone Number : 225-229-1954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2020
Last Update Date : 10/28/2020

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Directions to “ BRADFORD J WILLIAMS ” Practice Location

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