Provider Demographics
NPI:1891913075
Name:BRAUN, JANET MADELINE (GUIDANCE COUNSELOR)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:MADELINE
Last Name:BRAUN
Suffix:
Gender:F
Credentials:GUIDANCE COUNSELOR
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:MADELINE
Other - Last Name:BRAUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:GUIDANCE COUNSELOR
Mailing Address - Street 1:278 E KIOWA ST
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-9546
Mailing Address - Country:US
Mailing Address - Phone:928-773-4120
Mailing Address - Fax:928-773-4130
Practice Address - Street 1:278 E KIOWA ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-9546
Practice Address - Country:US
Practice Address - Phone:928-525-9126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor