Organization
VANESSA BRADDEN, LMFT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA R BRADDEN LMFT (MARRIAGE AND FAMILY THERAPIST)
(773) 998-1220
Entity
Organization
Contact information
Practice address
3166 N LINCOLN AVE, SUITE 400, CHICAGO, IL 60657-3133
(773) 998-1220
Mailing address
3166 N LINCOLN AVE, SUITE 400, CHICAGO, IL 60657-3133
(773) 998-1220
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
166000731
IL
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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