Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Dwayne Bagwell, LPC

Individual provider Mental Health Counselor · NPI 1710010152

Kevin Dwayne Bagwell, LPC is a Mental Health Counselor in Pasadena, California. Licensed in California and Michigan. Registered with an NPI since 2007.

Licensed in
CA, MI
In the registry since
2007
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

75 W Holly St Unit 3010
Pasadena, CA 91103-0309
Phone: (231) 633-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 17520 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 17520 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6401009233 (MI)

Record details

NPI number1710010152
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address75 W Holly St Unit 3010, Pasadena, CA 91103-0309

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