Individual
MRS. ANDREA C BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, NCC, LPC
Contact information
Practice address
1106 KNORR ST, PHILADELPHIA, PA 19111-4930
(215) 796-5418
Mailing address
1106 KNORR ST, PHILADELPHIA, PA 19111-4930
(215) 796-5418
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701009114
VA
101YP2500X
Professional Counselor
37PC00367400
NJ
101YP2500X
Professional Counselor
Primary
PC003852
PA
Other
Enumeration date
11/29/2007
Last updated
03/02/2021
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