Individual
MRS. SUSAN K BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5409 FALMOUTH ST, RICHMOND, VA 23230-2101
(804) 920-6397
Mailing address
5409 FALMOUTH ST, RICHMOND, VA 23230-2101
(804) 920-6397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003138
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383711
ANTHEM PROVIDER NUMBER
VA
Enumeration date
09/26/2006
Last updated
11/12/2020
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