Individual
MR. KEITH DESHAWN BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8116 3RD AVE S, BIRMINGHAM, AL 35206-3814
(773) 896-6156
Mailing address
8116 3RD AVE S, BIRMINGHAM, AL 35206-3814
(773) 896-6156
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04237
AL
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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