BRADLEY HIGGINBOTHAM

LAKE CHARLES, LA
NPI1396216404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
BRADLEY HIGGINBOTHAM MSSA
145 VICTORIA DR
LAKE CHARLES, LA 70611-4641
Phone number: 337-855-9773
Mailing Address
BRADLEY HIGGINBOTHAM MSSA
209 PARK AVE
LAKE CHARLES, LA 70601-5967
Phone number: 337-304-3719
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