Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADLEY KEBODEAUX, LPC
Active Sole ProprietorMR. BRADLEY KEBODEAUX, LPC is a Professional Counselor healthcare provider located in BOONEVILLE, Mississippi. NPI 1447577002 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BOONEVILLE, MS
Registration Details
- NPI Number
- 1447577002
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2010 (16.288939064774 yrs)
- Last Updated
- Aug 26, 2016
- License
-
1633 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2100 E CHAMBERS DRBOONEVILLE, MS, 388298938Browse MS providers · Browse ZIP 38829
- Phone
- 6627283174
- Fax
- 6627283175
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in BOONEVILLE, MS
| Name | Credential | NPI |
|---|---|---|
| MS. KIM LATICE HARVEY-COOPER | LPC | 1194242693 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.