Organization Name: | D ROSS BRAUNE MA LPC AND ASSOCIATES |
NPI Number: | 1922367366 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID ROSS BRAUNE (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 401 Broadway Ave. 100 Cuero |
State: | TX US |
Postal Code: | 77954 |
Phone Number: | 3616528470 |
Fax Number: | 3615728578 |
NPI Enumeration Date: | 05/04/2012 |
NPI Last Update Date: | 05/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 16804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |