| Doctor Name: | BRADLEY LAMONT NESBITT |
| NPI Number: | 1013115252 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1034 Oak Grove Rd Concord, CA - 945183225 |
| Business Phone Number: | 9256031900 |
| Business Fax Number: | |
| Mailing Address: | 1301 Walnut St Apt 3, ALAMEDA |
| State: | CA |
| Postal Code: | 945014422 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2007 |
| NPI Last Update Date: | 07/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |