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Individual
MR. BRADLEY KEBODEAUX
Active
Individual
MR. BRADLEY KEBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
1633
MS
Other
Enumeration date
04/22/2010
Last updated
08/26/2016
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