| Doctor Name: | BRADFORD COLBERT |
| NPI Number: | 1427476217 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC-I |
| License Number: | 72160 |
| Business Practice Address: | 1715 Fm 1626 Ste 102 Manchaca, TX - 786523549 |
| Business Phone Number: | 5122805315 |
| Business Fax Number: | |
| Mailing Address: | 4701 Staggerbrush Rd Apt 2228, AUSTIN |
| State: | TX |
| Postal Code: | 787491052 |
| Phone Number: | 5125699695 |
| Fax Number: | |
| NPI Enumeration Date: | 03/31/2014 |
| NPI Last Update Date: | 03/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 72160 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |