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General NPI Number Information
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NPI Number | 1326269010
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Entity Type | Individual
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Provider Name | GAIL A. BRADFIELD LPC
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1801 RIDGEMONT
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City | COLUMBIA
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State | MO
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Zip | 65203
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Country | US
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Telephone | 573-445-3965
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Fax | 573-445-6033
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Provider Business Mailing Address
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Address Line | 1801 RIDGEMONT
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City | COLUMBIA
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State | MO
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Zip | 65203
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Country | US
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Telephone | 573-445-3965
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Fax | 573-445-6033
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 002155
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 002155
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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