Individual provider · Type 1 NPI
Andrea C. Braxton, MED, NCC, LPC
Professional Counselor · Philadelphia, PA
NPI number
1518149798
Active
Practice location
1106 Knorr St
Philadelphia, PA 19111-4930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00367400 (NJ) |
| Professional Counselor | 101YP2500X | 0701009114 (VA) |
| Professional Counselor Primary | 101YP2500X | PC003852 (PA) |
Professional Counselor: Definition to come...
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About NPI 1518149798
Andrea C. Braxton, MED, NCC, LPC's National Provider Identifier is 1518149798, issued on Nov 29, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 2, 2021.