Individual
BREDELL KEITH MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
7850 BRIER CREEK PKWY STE 102, RALEIGH, NC 27617-8900
(919) 748-4878
(919) 748-4876
Mailing address
10900 WORLD TRADE BLVD, RALEIGH, NC 27617-4202
(919) 237-1337
(866) 538-4716
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13082
NC
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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