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Organization
ALDON
Active
Organization
ALDON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS BRAXTON ARNASONBRAXTONA LCPC (PRESIDENT, CLINICAL DIRECTOR)
(240) 667-4290
Entity
Organization
Contact information
Practice address
7105 PONY TRAIL LN, HYATTSVILLE, MD 20782-1031
(240) 667-4290
(240) 539-0216
Mailing address
8955 EDMONSTON RD, SUITE E, GREENBELT, MD 20770-1006
(240) 667-4290
(240) 539-0216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2012
Last updated
05/27/2012
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