Bradley Wayne Shelton, LCADC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Baxter, KY

NPI

1639922487

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

290092 (KY)

Sex

Male

Sole proprietor

Yes

Enumerated

2024-04-10

Last updated

2025-06-11