| Melissa Ann Bradford, LPC | |
|
7601 S Redwood Rd # E, West Jordan, UT 84084-4007 | |
| (801) 233-8670 | |
| (801) 233-8682 |
| Full Name | Melissa Ann Bradford |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 7601 S Redwood Rd # E, West Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922387596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7098630-6004 (Utah) | Primary |
| Entity Name | Mend Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376256057 PECOS PAC ID: 8123478211 Enrollment ID: O20240102003152 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Ann Bradford, LPC 6885 S Redwood Rd, Apt. 112, West Jordan, UT 84084-2451 Ph: (801) 979-3062 | Melissa Ann Bradford, LPC 7601 S Redwood Rd # E, West Jordan, UT 84084-4007 Ph: (801) 233-8670 |
Mr. Romeo S Kistler, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9263 Redwood Rd, Building B, West Jordan, UT 84088 Phone: 801-566-0749 Fax: 801-566-7108 | |
London Bertoch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1561 W 7000 S Ste 200, West Jordan, UT 84084 Phone: 801-990-4300 | |
Khadija Raheef, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 S Redwood Rd, West Jordan, UT 84084 Phone: 801-233-8670 | |
Joseph Criswell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 S Redwood Rd, Bldg E, West Jordan, UT 84084 Phone: 801-233-8670 Fax: 801-233-8682 | |
Delayna Jean Stout, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8541 S Redwood Rd Ste C, West Jordan, UT 84088 Phone: 801-878-4220 Fax: 801-878-9846 | |
Micky Curtis, ACHMC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 S Redwood Rd, Bldg E, West Jordan, UT 84084 Phone: 801-233-8670 | |
Melanie E Thygerson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8817 Redwood Rd Ste A, West Jordan, UT 84088 Phone: 801-748-2270 Fax: 801-748-2271 |