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Individual
PHILIP KEITH MCBRAIN
Active
Individual
PHILIP KEITH MCBRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, ADDC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ADDC.0000015
CO
101YM0800X
Mental Health Counselor
Primary
LPC.0016946
CO
101YM0800X
Mental Health Counselor
LPCC.0014828
CO
Other
Enumeration date
03/09/2015
Last updated
09/14/2021
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