Individual
DUSTIN M BRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICDC/LPC
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 233-9070
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 233-9070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2607960
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162542
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162993
OH
101YM0800X
Mental Health Counselor
C.2506918-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290356
—
OH
Enumeration date
04/12/2017
Last updated
04/03/2026
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