| NPI | 1093935603 |
|---|---|
| Professional Name | BRADLEY DEAN DECKER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1444) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-1474) |
| 225700000X Massage Therapist (Licence: NE 862) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-08-18 |