Individual
ERIC D BRAATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RASAC I
Contact information
Practice address
1101 JAMISON ST, KIRKSVILLE, MO 63501-3943
(660) 665-1962
(660) 627-0642
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5778
MO
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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