Doctor Name: | MRS. KAREN J BRAEUTIGAM |
NPI Number: | 1134305113 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 089-0001220 |
Business Practice Address: | 78 S Main St Rutland, VT - 057014591 |
Business Phone Number: | 8027758224 |
Business Fax Number: | 8027477699 |
Mailing Address: | 191 Route 73, Po Box 18 ORWELL |
State: | VT |
Postal Code: | 057609782 |
Phone Number: | 8027752176 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2008 |
NPI Last Update Date: | 01/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 089-0001220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |