person
Taihra Braxton, LPC
Mental Health Counselor in Glen Rock, New Jersey
NPI 1013526615

Taihra Braxton is a Mental Health Counselor based in Vernon Hills, NJ and is specialized in Mental Health. Taihra Braxton practices in Glen Rock, NJ and has the professional credentials of LPC. The NPI Number for Taihra Braxton is 1013526615 and holds a License No. 37PC00891200 (New Jersey).

The current practice location address for Taihra Braxton is 65 Harristown Rd Ste 310, Glen Rock, NJ and can be reached out via phone at 732-982-2888 and via fax at 847-859-5885.

Location: 65 Harristown Rd Ste 310, Glen Rock, NJ, 60061-1454
person
Provider Profile Details
NPI Number
1013526615
Provider Name
Taihra Braxton
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
65 Harristown Rd Ste 310, Glen Rock, NJ, 60061-1454
Phone Number
732-982-2888
Fax Number
847-859-5885
Provider Enumeration Date
07/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
65 Harristown Rd Ste 310
City
State
Zip
07452-3356
Phone Number
732-982-2888
Fax Number
847-859-5885
person
Provider Business Mailing Address Details
Address
65 Harristown Rd Ste 310
City
State
Zip
07452-3356
Phone Number
732-982-2888
Fax Number
847-859-5885
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
37AC00433700 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
37PC00891200 (New Jersey)
Definition
Definition to come...
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