Individual provider · NPI-1

Chelsie C Braden, LCSW

Social Worker, Clinical · Crestview, FL

NPI number1992374532
StatusActive
Last updated in NPPESJun 18, 2021

Details

NPI
1992374532
Entity type
Individual (NPI-1)
Name
Chelsie C Braden
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 18, 2021
Certification date
Jun 18, 2021
Last updated
Jun 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSW18460FLYes

Practice location

6280 Equine Dr
Crestview, FL 32536-4383

Phone 360-489-5965

Mailing address

6280 Equine Dr
Crestview, FL 32536-4383

Phone 360-489-5965

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