DONELL BRAXTON

NEWPORT NEWS, VA
NPI1922368133
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0710102541)
Enumeration Date2012-05-22
Last Update Date2012-05-22
Business Address
Mr. DONELL BRAXTON CSAC
886 CHARLOTTE DR
NEWPORT NEWS, VA 23601-1000
Phone number: 757-223-0160
Mailing Address
Mr. DONELL BRAXTON CSAC
886 CHARLOTTE DR
NEWPORT NEWS, VA 23601-1000
Phone number: 757-223-0160
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