Provider Demographics
NPI:1174670749
Name:BRAUER, SHINEE P (LPC)
Entity Type:Individual
Prefix:
First Name:SHINEE
Middle Name:P
Last Name:BRAUER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:664 NAUTICA LN
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-7401
Mailing Address - Country:US
Mailing Address - Phone:281-787-6808
Mailing Address - Fax:832-565-8989
Practice Address - Street 1:14011 PARK DR
Practice Address - Street 2:SUITE 211
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-6292
Practice Address - Country:US
Practice Address - Phone:281-787-6808
Practice Address - Fax:832-565-8989
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11564101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional