Provider Demographics
NPI:1659925055
Name:PARFITT, BRADFORD GREGORY (LCSW, CDCII, BHAIII)
Entity type:Individual
Prefix:MR
First Name:BRADFORD
Middle Name:GREGORY
Last Name:PARFITT
Suffix:
Gender:M
Credentials:LCSW, CDCII, BHAIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 CHANNEL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-7837
Mailing Address - Country:US
Mailing Address - Phone:907-463-4000
Mailing Address - Fax:907-463-4075
Practice Address - Street 1:3051 VITAGE BLVD.
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801
Practice Address - Country:US
Practice Address - Phone:907-463-0160
Practice Address - Fax:907-463-0161
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK4063101YA0400X
AK2107161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)