| Family Matters Bradley | |
|
423 Central Ave Nw Cleveland TN 37311-4923 | |
| (423) 476-1933 | |
| (423) 559-1848 |
| Full Name | Family Matters Bradley |
|---|---|
| Speciality | Counselor - Professional |
| Location | 423 Central Ave Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | John Kie Vining (CHAIRMAN OF BOARD) |
| Authorized Official Contact | 4234761933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Matters Bradley 423 Central Ave Nw Cleveland TN 37311-4923 Ph: (423) 476-1933 | Family Matters Bradley 423 Central Ave Nw Cleveland TN 37311-4923 Ph: (423) 476-1933 |
| NPI Number | 1467996504 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 12/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467996504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC0000000694 (Tennessee) | Primary |
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