Mr Bradley Kebodeaux, LPC | |
2100 E Chambers Dr, Booneville, MS 38829-8938 | |
(662) 728-3174 | |
(662) 728-3175 |
Full Name | Mr Bradley Kebodeaux |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 2100 E Chambers Dr, Booneville, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447577002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 1633 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Bradley Kebodeaux, LPC 303 N Madison St, Corinth, MS 38834-5072 Ph: (662) 286-9883 | Mr Bradley Kebodeaux, LPC 2100 E Chambers Dr, Booneville, MS 38829-8938 Ph: (662) 728-3174 |
Pam Castle, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 East Chambers Street, Booneville, MS 38829 Phone: 662-728-3174 Fax: 662-286-8095 | |
Alyson Woodruff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488 | |
Kathryn Gann Murff, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 E Chambers Dr, Booneville, MS 38829 Phone: 662-728-3174 Fax: 662-728-3175 | |
Vanity Kay Langston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488 | |
Christy Brantley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488 | |
Ellen Yow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 E Chambers Dr, Booneville, MS 38829 Phone: 662-728-3174 Fax: 662-728-3175 | |
Ms. Kim Latice Harvey-cooper, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W George E Allen Dr # B, Booneville, MS 38829 Phone: 662-728-5445 |