Individual
ABAGAEL JO BRAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5353 WAYZATA BLVD STE 510, ST LOUIS PARK, MN 55416-1340
(952) 254-3557
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
03960
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2023
Last updated
11/21/2025
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