Individual
JONATHAN CORY BRAVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPCC
Contact information
Practice address
540 E 1ST ST, WACONIA, MN 55387-1600
(952) 442-4437
Mailing address
540 E 1ST ST, WACONIA, MN 55387-1600
(952) 442-4437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1487
MN
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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