Provider Demographics
NPI:1760128367
Name:BRAUNS, LAUREL MARIE (LPC-A)
Entity Type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:MARIE
Last Name:BRAUNS
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 NW ROANOKE AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-1673
Mailing Address - Country:US
Mailing Address - Phone:541-604-0246
Mailing Address - Fax:
Practice Address - Street 1:780 BUCKAROO TRL STE B
Practice Address - Street 2:
Practice Address - City:SISTERS
Practice Address - State:OR
Practice Address - Zip Code:97759-9428
Practice Address - Country:US
Practice Address - Phone:541-904-0083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-07
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health