Individual
BRADIE HARBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LCDC, LPC
Contact information
Practice address
650 LOUIS HENNA BLVD APT 7306, ROUND ROCK, TX 78664-7561
(512) 508-3229
Mailing address
650 LOUIS HENNA BLVD APT 7306, ROUND ROCK, TX 78664-7561
(512) 508-3229
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15045
TX
101YP2500X
Professional Counselor
Primary
81007
TX
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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