NPI 1417601097

Michelle Bradham-Cousar, PHDCRCLMHCNCC

Practitioner Rehabilitation Counselor Tampa, FL

Practice location

Address: 1503 S US 301 Unit 92, Tampa, FL 33619
Phone: (941) 250-5446
Mailing address: 10121 E Adamo Dr Unit 89761, Tampa, FL 33689-9038

Registered specialties (3)

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 00102595 (FL)

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Registry record

NPI: 1417601097
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2022
Record last updated: 11 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.