Constance Lynnette Brase, M.A.

NPI #1164670709 in Lamar, Colorado

Provider Information

NPI Number: 1164670709
Entity Type: Individual
Name: Constance Lynnette Brase, M.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: M.A.
Enumeration Date: Sep 8, 2008
Last Updated: Sep 8, 2008

Practice Location

Address: 109 LEE AVE
Address 2: SUITE 3
City: Lamar
State: Colorado
ZIP Code: 81052-3717
Phone: (719) 336-0478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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