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Individual
MICHAEL BRAXTON
Active
Individual
MICHAEL BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW,LCDC,MHPS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16044
TX
1041C0700X
Clinical Social Worker
Primary
L15145
OR
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
205-0124
TX
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2024
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