Provider Demographics
NPI:1386151017
Name:BRAUN COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:BRAUN COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:971-301-2492
Mailing Address - Street 1:2620 SKOPIL AVE S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-5477
Mailing Address - Country:US
Mailing Address - Phone:503-949-2471
Mailing Address - Fax:844-873-6925
Practice Address - Street 1:388 STATE ST STE 810
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3470
Practice Address - Country:US
Practice Address - Phone:971-301-2492
Practice Address - Fax:844-873-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty