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Individual

BRADLEY S KENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT, LPC

Contact information

Practice address
4613 BEE CAVES RD, SUITE 204, WEST LAKE HILLS, TX 78746-5203
(512) 732-2400
(512) 732-2404
Mailing address
4613 BEE CAVES RD, SUITE 204, WEST LAKE HILLS, TX 78746-5203
(512) 732-2400
(512) 732-2404

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
18763
TX
106H00000X
Marriage & Family Therapist
Primary
200752
TX

Other

Enumeration date
02/12/2007
Last updated
09/09/2013
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