National Provider Identifier

Bradley T McClennan

Bradley T McClennan is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Jamestown, NY and a listed phone number of (716) 483-2603.

NPI 1578874871Jamestown, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1578874871
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
July 01, 2010
Last Updated
July 01, 2010

Practice Location

  • 560 W 3Rd St
  • Jamestown, NY 14701-4776

Phone: (716) 483-2603

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1578874871
Entity Type
Individual
Last Name
McClennan
First Name
Bradley
Middle Name
T
Mailing Street Address
560 W 3Rd St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-4776
Mailing Country
US
Mailing Phone
(716) 483-2603
Mailing Fax
(716) 483-2828
Practice Street Address
560 W 3Rd St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-4776
Practice Country
US
Practice Phone
(716) 483-2603
Practice Fax
(716) 483-2828
Enumeration Date
July 01, 2010
Last Updated
July 01, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)