| Mr Bradford Michael Bethea Ii, LPC / CSAC | |
|
6030 Hawks Perch Ln, Disputanta, VA 23842-4614 | |
| (804) 928-9967 | |
| Not Available |
| Full Name | Mr Bradford Michael Bethea Ii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 6030 Hawks Perch Ln, Disputanta, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730020850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701015063 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradford Michael Bethea Ii, LPC / CSAC 6030 Hawks Perch Ln, Disputanta, VA 23842-4614 Ph: (804) 928-9967 | Mr Bradford Michael Bethea Ii, LPC / CSAC 6030 Hawks Perch Ln, Disputanta, VA 23842-4614 Ph: (804) 928-9967 |
Tyesha Shaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11321 Walton Lake Rd, Disputanta, VA 23842 Phone: 804-930-3280 | |
Jasmine Danisha Gant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4018 Cobblewood Dr, Disputanta, VA 23842 Phone: 804-895-4573 | |
Mrs. Odessa Marie Brittenum, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 11322 Walton Lake Rd, Disputanta, VA 23842 Phone: 804-919-3983 |