Edith Watkins Bradshaw
Counselor, Mental Health in Tupelo, MS. Individual provider (NPI-1).
NPI number1063664571
StatusActive
Last updated in NPPESOct 15, 2008
Details
- NPI
- 1063664571
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Edith Watkins Bradshaw
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2008
- Last updated
- Oct 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2434 S Eason BlvdTupelo, MS 38804-6942
Phone 662-844-1717 · Fax 662-680-5129
Mailing address
309 Cove StWest Point, MS 39773-2530
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All 492 Mental Health Counselor providers in Tupelo · All 2,880 providers in Tupelo
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