Individual
DR. PHYLLIS ARNELLA BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002241
VA
101YP2500X
Professional Counselor
LC-1071
MD
Other
Enumeration date
12/19/2007
Last updated
03/13/2014
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