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Individual

BRADLEY LOOMIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8801 LA CRESADA DR APT 413, AUSTIN, TX 78749-4507
(469) 855-4117
Mailing address
8801 LA CRESADA DR APT 413, AUSTIN, TX 78749-4507
(469) 855-4117

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12365
TX

Other

Enumeration date
04/03/2023
Last updated
04/03/2023
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