Individual provider · Type 1 NPI
Kimberly Mi-Suk Brauda, LPC
Professional Counselor · Statesboro, GA
NPI number
1700218179
Active
Practice location
Statesboro Psychiatric Associates, 116 Hill Pond Lane
Statesboro, GA 30458
Fax (912) 489-1630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 004820 (GA) |
| Professional Counselor Primary | 101YP2500X | LPC004820 (GA) |
Professional Counselor: Definition to come...
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About NPI 1700218179
Kimberly Mi-Suk Brauda, LPC's National Provider Identifier is 1700218179, issued on Aug 7, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Statesboro, GA. The record was last updated on Dec 12, 2019.