Individual provider · Type 1 NPI

Jacqulyn Braxton

Professional Counselor · Northfield, IL

NPI number 1285496604 Active

Practice location

405 Central Ave
Northfield, IL 60093-3006

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180018614 (IL)

Professional Counselor: Definition to come...

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About NPI 1285496604

Jacqulyn Braxton's National Provider Identifier is 1285496604, issued on Jan 30, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Northfield, IL. The record was last updated on Aug 6, 2026.