Divine Braboy, LPC
NPI #1144997610 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1144997610
- Entity Type
- Individual
- Name
- Divine Braboy, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Aug 24, 2021
- Last Updated
- Aug 24, 2021
Practice Location
- Address
- 3704 BRIAR LN
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-2414
- Phone
- (773) 563-7670
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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