Braden Q Stautberg, C-T

NPI #1851941488 in Walnut Hills, Ohio

Provider Information

NPI Number: 1851941488
Entity Type: Individual
Name: Braden Q Stautberg, C-T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: C-T
Enumeration Date: Sep 16, 2019
Last Updated: Sep 16, 2019

Practice Location

Address: 1501 MADISON RD
City: Walnut Hills
State: Ohio
ZIP Code: 45206-1706
Phone: (513) 354-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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