JERMAYNE TERRELL BRADFORD

BATON ROUGE, LA
NPI1396267738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-07-07
Last Update Date2017-07-07
Business Address
JERMAYNE TERRELL BRADFORD
8786 GOODWOOD BLVD
BATON ROUGE, LA 70806-7917
Phone number: 337-254-8990
Mailing Address
JERMAYNE TERRELL BRADFORD
6894 VINEYARD DR
BATON ROUGE, LA 70812-2151
Phone number: