Individual provider · Type 1 NPI

Braxton Massey Dudley Jr.

Mental Health Counselor · Boulder, CO

NPI number 1962997304 Active

Practice location

1501 Yarmouth Ave
Boulder, CO 80304-0564

Mailing address

1742 Walnut St Apt 5
Boulder, CO 80302-5530

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962997304

Braxton Massey Dudley Jr.'s National Provider Identifier is 1962997304, issued on Jun 27, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Jun 27, 2018.