Provider Demographics
NPI:1619034758
Name:BRAUNE, DAVID ROSS (LPC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ROSS
Last Name:BRAUNE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 WOODHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-1147
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:307 N GONZALES ST
Practice Address - Street 2:JUVENILE PROBATION DEPT.
Practice Address - City:CUERO
Practice Address - State:TX
Practice Address - Zip Code:77954-2948
Practice Address - Country:US
Practice Address - Phone:361-652-8470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional