Provider Demographics
NPI:1437021383
Name:BRUEN, LAURA ELENA (LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELENA
Last Name:BRUEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 PAR LN
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-2936
Mailing Address - Country:US
Mailing Address - Phone:314-398-2673
Mailing Address - Fax:
Practice Address - Street 1:321 PAR LN
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-2936
Practice Address - Country:US
Practice Address - Phone:314-398-2673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-20
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004034139101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health