Provider Demographics
NPI:1033248364
Name:BRAUN, SHARON ANN (PHD, LPC, NCC, CCFC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ANN
Last Name:BRAUN
Suffix:
Gender:F
Credentials:PHD, LPC, NCC, CCFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 S SILVER SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-7536
Mailing Address - Country:US
Mailing Address - Phone:573-332-2774
Mailing Address - Fax:573-651-4345
Practice Address - Street 1:402 S SILVER SPRINGS RD
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-7536
Practice Address - Country:US
Practice Address - Phone:573-332-2774
Practice Address - Fax:573-651-4345
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001008081101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO499011302Medicaid