Individual
CHRYSTIE LYN BRADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PLPC
Contact information
Practice address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 448-5678
Mailing address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 448-5678
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017027917
MO
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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