Individual
MR. PAUL ALLEN BRAUTIGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
501 1ST CAPITOL DR, SUITE 4, SAINT CHARLES, MO 63301-2768
(636) 946-1500
(636) 946-1516
Mailing address
16 HICKORY HILL DR, O FALLON, MO 63366-1948
(636) 379-0294
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001031938
MO
Other
Enumeration date
07/24/2006
Last updated
07/09/2007
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