Individual
MR. DARRYL EDWARD BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
3808 EASTERN AVE, BALTIMORE, MD 21224-4221
(443) 882-1943
Mailing address
919 CALWELL RD, BALTIMORE, MD 21229-5006
(443) 882-1943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7034
MD
101YP2500X
Professional Counselor
LCA1542
MD
Other
Enumeration date
05/04/2010
Last updated
05/11/2023
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