Doctor Name: | MARY ANN E BRAUHN |
NPI Number: | 1083890149 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS LPCC |
License Number: | 2921119476 |
Business Practice Address: | 135 Sims Ste 208 Dickinson, ND - 58601 |
Business Phone Number: | 7014839600 |
Business Fax Number: | 7014839602 |
Mailing Address: | 135 Sims, Ste 208 DICKINSON |
State: | ND |
Postal Code: | 58601 |
Phone Number: | 7014839600 |
Fax Number: | 7014839602 |
NPI Enumeration Date: | 01/18/2008 |
NPI Last Update Date: | 01/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2921119476 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |