Individual
ELISABETH BRAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
140 PROSPECT AVE STE K, SAINT LOUIS, MO 63122-6024
(314) 467-0540
Mailing address
10552 HACKBERRY DR APT 6, SAINT LOUIS, MO 63128-1349
(314) 262-2995
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2014007638
MO
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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