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Individual

MRS. GRACE MARIE BRASWELL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
360 BEECH STREET, NEWLAND, NC 28657-0040
(828) 733-5889
(828) 262-5687
Mailing address
360 BEECH STREET, PO BOX 40, NEWLAND, NC 28657-0040
(828) 733-5889
(828) 262-5687

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4822
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1393K
BCBS OF NC
NC
01
2234498
CIGNA BEHAVIORAL HEALTH
NC
05
6102750
NC
01
E1764
MEDCOST
NC
01
N/A
MHNET
NC
Enumeration date
03/08/2006
Last updated
07/09/2007
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