Provider Demographics
NPI:1518258326
Name:BRACHER, DONNA L (LPC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:L
Last Name:BRACHER
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 1:1310 TURNER ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-4373
Mailing Address - Country:US
Mailing Address - Phone:517-974-2393
Mailing Address - Fax:
Practice Address - Street 1:1310 TURNER ST
Practice Address - Street 2:SUITE A
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-4373
Practice Address - Country:US
Practice Address - Phone:517-974-2393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011208101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional