BRADLEY WAYNE SHELTON

LOUISA, KY
NPI1639922487
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  290092)
Enumeration Date2024-04-10
Last Update Date2024-05-13
Business Address
Mr. BRADLEY WAYNE SHELTON LCADC
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
Mr. BRADLEY WAYNE SHELTON LCADC
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938