Randall S Braddock, MA, LPC
NPI #1730378860 in Universal City, Texas
Provider Information
- NPI Number
- 1730378860
- Entity Type
- Individual
- Name
- Randall S Braddock, MA, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LPC
- Enumeration Date
- Oct 15, 2007
- Last Updated
- Sep 24, 2019
Practice Location
- Address
- 433 KITTY HAWK RD STE 219
- City
- Universal City
- State
- Texas
- ZIP Code
- 78148-3829
- Phone
- (210) 566-1280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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