| Bradley Lodge, | |
|
3192 Glen Canyon Rd, Scotts Valley, CA 95066-4916 | |
| (831) 438-1868 | |
| (831) 438-2789 |
| Full Name | Bradley Lodge |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3192 Glen Canyon Rd, Scotts Valley, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922959790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A060541021 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Lodge, 3600 Glen Canyon Rd, Scotts Valley, CA 95066-4923 Ph: (831) 438-1868 | Bradley Lodge, 3192 Glen Canyon Rd, Scotts Valley, CA 95066-4916 Ph: (831) 438-1868 |
Abigail Robideaux Stevens, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Bean Creek Rd, Scotts Valley, CA 95066 Phone: 831-438-0610 | |
Mr. Gabriel Anthony Figueroa, MFT Counselor Medicare: Medicare Enrolled Practice Location: 5615 Scotts Valley Drive, Scotts Valley, CA 95066 Phone: 831-440-5063 | |
Rebecca Roth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4113 Scotts Valley Dr Ste 212, Scotts Valley, CA 95066 Phone: 831-566-7273 | |
Barbara Lynn Kangas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1669 Nelson Rd Apt 4, Scotts Valley, CA 95066 Phone: 408-771-2890 | |
Tina Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3192 Glen Canyon Rd, Scotts Valley, CA 95066 Phone: 831-438-1868 | |
Grace Wahl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Glenwood Dr, Scotts Valley, CA 95066 Phone: 831-439-9555 | |
Mackenzie Keller, MA, PPSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 Vine Hill School Rd, Scotts Valley, CA 95066 Phone: 831-438-1090 |