Doctor Name: | LINDA DIANNE BRADEN |
NPI Number: | 1295857571 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICDC |
License Number: | 892710 |
Business Practice Address: | 33595 Bainbridge Rd Suite 103 Solon, OH - 441392942 |
Business Phone Number: | 4403490544 |
Business Fax Number: | |
Mailing Address: | 34545 Bainbridge Rd, SOLON |
State: | OH |
Postal Code: | 441393010 |
Phone Number: | 4403494490 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 892710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |