Individual
MRS. DANETTE C BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1510 WILLOW LAWN DR, SUITE 101, RICHMOND, VA 23230-3429
(804) 359-0613
Mailing address
1001 HERMITAGE RD, MANAKIN SABOT, VA 23103-2830
(804) 708-0478
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002480
VA
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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