NPI 1245481639 · live from the CMS NPI Registry
Vanessa R Bradden, LMFT
Marriage & Family Therapist in Chicago, IL. National Provider Identifier 1245481639, active.
NPI record
| NPI | 1245481639 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 4851 N Paulina St, Apt 2, Chicago, IL 60640 |
| Practice phone | 773-944-5877 |
| Enumerated | October 4, 2008 |
| Last updated | October 4, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 166000731 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.