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Organization
BRADEN COUNSELING CENTER, P.C.
Active
Organization
BRADEN COUNSELING CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA BUTZ (CHIEF OPERATING OFFICER)
(815) 787-9000
Entity
Organization
Contact information
Practice address
1815 MEDITERRANEAN DR, SYCAMORE, IL 60178-3299
(815) 787-9000
(815) 787-9015
Mailing address
1815 MEDITERRANEAN DR, SYCAMORE, IL 60178-3299
(815) 787-9000
(815) 787-9015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
225C00000X
Rehabilitation Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01932029
BLUECROSSBLUE SHIELD
IL
Enumeration date
12/06/2006
Last updated
11/03/2025
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