Doctor Name: | MR. DAVID ROSS BRAUNE |
NPI Number: | 1619034758 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | |
Business Practice Address: | 307 N Gonzales St Juvenile Probation Dept. Cuero, TX - 779542948 |
Business Phone Number: | 3616528470 |
Business Fax Number: | |
Mailing Address: | 111 Woodhaven Dr, VICTORIA |
State: | TX |
Postal Code: | 779041147 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/01/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |