Individual provider · Type 1 NPI

Bredell Keith Moody, LCMHCA

Professional Counselor · Raleigh, NC

NPI number 1700467685 Active

Practice location

7850 Brier Creek Pkwy Ste 102
Raleigh, NC 27617-8900

Fax (919) 748-4876

Mailing address

10900 World Trade Blvd
Raleigh, NC 27617-4202

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA13082 (NC)

Professional Counselor: Definition to come...

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About NPI 1700467685

Bredell Keith Moody, LCMHCA's National Provider Identifier is 1700467685, issued on Apr 21, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Raleigh, NC. The record was last updated on Apr 21, 2021.