Doctor Name: | MR. BRADLEY PLYMIRE |
NPI Number: | 1861852402 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., LAADC |
License Number: | LCI04481015 |
Business Practice Address: | 1401 L St Bakersfield, CA - 933014522 |
Business Phone Number: | 6618686104 |
Business Fax Number: | |
Mailing Address: | Po Box 1000, BAKERSFIELD |
State: | CA |
Postal Code: | 933021000 |
Phone Number: | 6618686104 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2016 |
NPI Last Update Date: | 02/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LCI04481015 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |