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Renate Marie Braddy, QMHP-A
Mental Health Counselor in Estill Springs, Tennessee
NPI 1154982593

Renate Marie Braddy is a Mental Health Counselor based in Estill Springs, TN and is specialized in Mental Health. Renate Marie Braddy practices in Estill Springs, TN and has the professional credentials of QMHP-A. The NPI Number for Renate Marie Braddy is 1154982593 and holds a License No. (Tennessee).

The current practice location address for Renate Marie Braddy is 416 S Main St, Estill Springs, TN and can be reached out via phone at 276-617-0512.

Location: 416 S Main St, Estill Springs, TN, 37330-4037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154982593
Provider Name
Renate Marie Braddy
Credential
QMHP-A
Provider Entity Type
Individual
Gender
Female
Address
416 S Main St, Estill Springs, TN, 37330-4037
Phone Number
276-617-0512
Fax Number
Provider Enumeration Date
06/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0732004484 01 VA VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS LICENSE
institution
Provider Business Practice Location Address Details
Address
416 S Main St
City
Estill Springs
State
Tennessee
Zip
37330-4037
Phone Number
276-617-0512
Fax Number
person
Provider Business Mailing Address Details
Address
416 S Main St
City
Estill Springs
State
Tennessee
Zip
37330-4037
Phone Number
276-617-0512
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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