Individual provider · Type 1 NPI

Bradley Kebodeaux, LPC

Professional Counselor · Booneville, MS

NPI number 1447577002 Active

Practice location

2100 E Chambers Dr
Booneville, MS 38829-8938

Call (662) 728-3174 Map

Fax (662) 728-3175

Mailing address

303 N Madison St
Corinth, MS 38834-5072

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X1633 (MS)

Professional Counselor: Definition to come...

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About NPI 1447577002

Bradley Kebodeaux, LPC's National Provider Identifier is 1447577002, issued on Apr 22, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Booneville, MS. The record was last updated on Aug 26, 2016.