Sandra Sue Rahm, LPC
Individual provider Active NPI Professional Counselor · Boonville, MO
NPI 1386972685 · NPPES record last updated Nov 24, 2009
Key facts
- NPI
- 1386972685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 001772 (MO)
- Practice address
- 413 E Spring St
Boonville, MO 65233-1573 - Phone
- (660) 882-6400
- Fax
- (660) 882-7137
- NPI assigned
- Nov 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001772 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Dynamics LLC | Past |
Accepting new patients | |
| Walking Peace | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001772 | MO | Yes |
Addresses
Primary practice location
413 E Spring St
Boonville, MO 65233-1573
Mailing address
413 E Spring St
Boonville, MO 65233-1573
Phone (660) 882-6400
Other providers in Boonville, MO
- Pinnacle Regional Hospital, LLC
- Pinnacle Regional Hospital, LLC
- Pinnacle Regional Hospital, LLC
- Pinnacle Regional Hospital,LLC
- Ricky D. Powell
- Laura Reans
- Phyllis M Reesman
- Reorganized School District No 1
- Restoration Health LLC
- Ricky D. Powell, D.D.S., LLC
All providers in Boonville, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.