person
Randall S Braddock, MA,LPC
Professional Counselor in Universal City, Texas
NPI 1730378860

Randall S Braddock is a Professional Counselor based in Universal City, TX and is specialized in Professional. Randall S Braddock practices in Universal City, TX and has the professional credentials of MA,LPC. The NPI Number for Randall S Braddock is 1730378860 and holds a License No. 06984 (Texas).

The current practice location address for Randall S Braddock is 433 Kitty Hawk Rd Ste 219, Universal City, TX and can be reached out via phone at 210-566-1280 and via fax at 210-579-8533.

Location: 433 Kitty Hawk Rd Ste 219, Universal City, TX, 78148-3829
person
Provider Profile Details
NPI Number
1730378860
Provider Name
Randall S Braddock
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
433 Kitty Hawk Rd Ste 219, Universal City, TX, 78148-3829
Phone Number
210-566-1280
Fax Number
210-579-8533
Provider Enumeration Date
10/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
433 Kitty Hawk Rd Ste 219
City
State
Zip
78148-3829
Phone Number
210-566-1280
Fax Number
210-579-8533
person
Provider Business Mailing Address Details
Address
433 Kitty Hawk Rd Ste 219
City
State
Zip
78148-3829
Phone Number
210-566-1280
Fax Number
210-579-8533
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
06984 (Texas)
Definition
Definition to come...
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