Individual
BRADFORD COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-I
Contact information
Practice address
1715 FM 1626 STE 102, MANCHACA, TX 78652-3549
(512) 280-5315
Mailing address
4701 STAGGERBRUSH RD APT 2228, AUSTIN, TX 78749-1052
(512) 569-9695
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
72160
TX
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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