Individual
MADISON BRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC,LPC
Contact information
Practice address
315 E WALNUT ST, ELLINGTON, MO 63638-7943
(573) 663-2644
Mailing address
315 E WALNUT ST, ELLINGTON, MO 63638-7943
(573) 663-2644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
04/01/2024
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