Individual provider · Type 1 NPI
Keana Bradley, LPC
Professional Counselor · Grand Prairie, TX
NPI number
1922516145
Active
Practice location
2919 Barco
Grand Prairie, TX 75054-5542
Fax (214) 801-5499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 67902 (TX) |
Professional Counselor: Definition to come...
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About NPI 1922516145
Keana Bradley, LPC's National Provider Identifier is 1922516145, issued on Jan 22, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Prairie, TX. The record was last updated on Jan 22, 2018.