Individual
MS. JANET M BRACIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, LPCC-S
Contact information
Practice address
1349 E STROOP RD, DAYTON, OH 45429-4925
(937) 293-1115
(937) 293-9455
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
(937) 534-1347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E.0007917-SUPV
OH
101YP2500X
Professional Counselor
Primary
E.0007917-SUPV
OH
Other
Enumeration date
10/29/2012
Last updated
10/22/2018
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