Individual
BRADEN FRIEDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
950 N 4TH ST, LONGVIEW, TX 75601-5436
(903) 619-3867
Mailing address
3212 TIMBERLANE DR, TYLER, TX 75701-6134
(512) 948-5737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73359
TX
101YP2500X
Professional Counselor
—
TX
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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