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General NPI Number Information
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NPI Number | 1386598027
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Entity Type | Individual
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Provider Name | BUDDY T BRADEN LPCC
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Gender | Male
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 1015 DORSEY LN
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City | LOUISVILLE
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State | KY
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Zip | 40223-2612
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Country | US
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Telephone | 502-565-9948
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Fax |
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Provider Business Mailing Address
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Address Line | 8211 SEALSTON DR
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City | LOUISVILLE
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State | KY
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Zip | 40228-2113
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 305103
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License Number State | KY
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