Individual
BRADLEY DOUGLAS WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6420 SOUTHWEST BLVD STE 115, BENBROOK, TX 76109-3929
(817) 713-6209
Mailing address
6420 SOUTHWEST BLVD STE 115, BENBROOK, TX 76109-3929
(817) 713-6209
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
83644
TX
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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