Individual provider · Type 1 NPI
Divine Braboy, LPC
Mental Health Counselor · Hazel Crest, IL
NPI number
1144997610
Active
Practice location
3704 Briar Ln
Hazel Crest, IL 60429-2414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 178013828 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1144997610
Divine Braboy, LPC's National Provider Identifier is 1144997610, issued on Aug 24, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hazel Crest, IL. The record was last updated on Aug 24, 2021.