Individual
LAVERNE BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1835 EAST NANCY LANE, 2320 EAST BASELINE RD #195-148, PHOENIX, AZ 85042
(602) 268-0426
(602) 268-0909
Mailing address
1835 EAST NANCY LANE, 2320 EAST BASELINE RD #195-148, PHOENIX, AZ 85042
(602) 268-0426
(602) 268-0909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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