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 |