Doctor Name: | MS. KAREN FAYE BRAUER |
NPI Number: | 1063698694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 180006161 |
Business Practice Address: | 615 N Promenade St Havana, IL - 626441243 |
Business Phone Number: | 3095436600 |
Business Fax Number: | 3095432089 |
Mailing Address: | Po Box 530, HAVANA |
State: | IL |
Postal Code: | 626440530 |
Phone Number: | 3095436600 |
Fax Number: | 3095432089 |
NPI Enumeration Date: | 01/14/2008 |
NPI Last Update Date: | 07/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180006161 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |