Individual
BRADLEY H KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MRC, CRC
Contact information
Practice address
1905 ELDER HILL RD, DRIFTWOOD, TX 78619-2102
(281) 202-8672
Mailing address
1905 ELDER HILL RD, DRIFTWOOD, TX 78619-2102
(281) 202-8672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
111999
TX
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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