Individual
VANESSA R BRADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4851 N PAULINA ST, APT 2, CHICAGO, IL 60640-4177
(773) 944-5877
Mailing address
4851 N PAULINA ST, APT 2, CHICAGO, IL 60640-4177
(773) 944-5877
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000731
IL
Other
Enumeration date
10/04/2008
Last updated
10/04/2008
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