Provider Demographics
NPI:1558588780
Name:BRAUN, TERRY N (LPCC)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:N
Last Name:BRAUN
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 12TH ST E
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-4306
Mailing Address - Country:US
Mailing Address - Phone:701-281-9477
Mailing Address - Fax:
Practice Address - Street 1:4650 AMBER VALLEY PKWY S
Practice Address - Street 2:SUITE 5
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8612
Practice Address - Country:US
Practice Address - Phone:701-799-6258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health