Lorraine Braxton
Counselor, Mental Health in Philadelphia, PA. Individual provider (NPI-1).
NPI number1003073370
StatusActive
Last updated in NPPESMay 22, 2008
Details
- NPI
- 1003073370
- Entity type
- Individual (NPI-1)
- Name
- Lorraine Braxton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2008
- Last updated
- May 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
4900 Wyalusing AvePhiladelphia, PA 19131-5127
Phone 215-473-7033
Mailing address
1328 E Cliveden StPhiladelphia, PA 19119-3948
Phone 215-473-7033
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