person
Mr. Bradley Kebodeaux, LPC
Professional Counselor in Booneville, Mississippi
NPI 1447577002

Bradley Kebodeaux is a Professional Counselor based in Corinth, MS and is specialized in Professional. Bradley Kebodeaux practices in Booneville, MS and has the professional credentials of LPC. The NPI Number for Bradley Kebodeaux is 1447577002 and holds a License No. (Mississippi).

The current practice location address for Bradley Kebodeaux is 2100 E Chambers Dr, Booneville, MS and can be reached out via phone at 662-728-3174 and via fax at 662-728-3175.

Location: 2100 E Chambers Dr, Booneville, MS, 38834-5072
person
Provider Profile Details
NPI Number
1447577002
Provider Name
Bradley Kebodeaux
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2100 E Chambers Dr, Booneville, MS, 38834-5072
Phone Number
662-728-3174
Fax Number
662-728-3175
Provider Enumeration Date
04/22/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2100 E Chambers Dr
City
State
Zip
38829-8938
Phone Number
662-728-3174
Fax Number
662-728-3175
person
Provider Business Mailing Address Details
Address
2100 E Chambers Dr
City
State
Zip
38829-8938
Phone Number
662-728-3174
Fax Number
662-728-3175
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1633 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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