Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN DWAYNE BAGWELL, LPC
ActiveKEVIN DWAYNE BAGWELL, LPC is a Professional Counselor healthcare provider located in PASADENA, California. NPI 1710010152 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · PASADENA, CA
Registration Details
- NPI Number
- 1710010152
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2007 (19.229989733355 yrs)
- Last Updated
- Aug 29, 2025
- Licenses
-
17520 (CA)6401009233 (MI)17520 (CA)
Practice Information
- Address
-
75 W HOLLY ST UNIT 3010PASADENA, CA, 911030309Browse CA providers · Browse ZIP 91103
- Phone
- 2316333400
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in PASADENA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DIANE MARIE LAUGHRUN | PH.D. | 1346254224 |
| MR. CHARLES RICHARD ROBERSON JR. | — | 1639315617 |
| AMANDA LARSON | MA, LPCC, LPC, NCC | 1922245794 |
| MR. CHARLES EDWARD DELEEUW | M.A. | 1134449788 |
| HARRIET KAISER | — | 1346552031 |
| SAMAN HAMIDI AZAR | — | 1215225214 |
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.