Individual
NED BARTLEBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 BRADFORD ST, LANTANA, TX 76226-6443
(803) 414-7972
Mailing address
730 BRADFORD ST, LANTANA, TX 76226-6443
(803) 414-7972
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
201225
TX
101YP1600X
Pastoral Counselor
201225
TX
106H00000X
Marriage & Family Therapist
Primary
201225
TX
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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