Search › Texas › 1041C0700X
Brook Bodenhamer, LCSW, LCDC
NPI 1205455664 · on the registry since 2020 · sole proprietor
Practice
- Address
- 204 W Trailmoor Dr
Fredericksburg, TX 78624 - Phone
- (210) 818-8819
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas