| Doctor Name: | MR. HARRY WILLIAM BRADLEY |
| NPI Number: | 1144649377 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CDC II |
| License Number: | 2283 |
| Business Practice Address: | 222 Tongass Dr Sitka, AK - 998359416 |
| Business Phone Number: | 9079668611 |
| Business Fax Number: | 9079778627 |
| Mailing Address: | 222 Tongass Dr, SITKA |
| State: | AK |
| Postal Code: | 998359416 |
| Phone Number: | 9079668611 |
| Fax Number: | 9079778627 |
| NPI Enumeration Date: | 04/15/2014 |
| NPI Last Update Date: | 04/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |