Vicki Sue Branstetter, PLPC
Individual provider Active NPI Professional Counselor · Fredericktown, MO
NPI 1407328503 · NPPES record last updated Dec 30, 2018
Key facts
- NPI
- 1407328503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2018039118 (MO)
- Practice address
- 600 Sargent LN
Fredericktown, MO 63645-7526 - Phone
- (573) 783-4400
- Fax
- (573) 783-4409
- NPI assigned
- Dec 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 2018039118 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Tabernacle World Outreach Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2018039118 | MO | Yes |
Addresses
Primary practice location
600 Sargent LN
Fredericktown, MO 63645-7526
Mailing address
600 Sargent LN
Fredericktown, MO 63645-7526
Phone (573) 783-4400
Other providers in Fredericktown, MO
- Kyle Lee Bastie
- Jennifer Berkbigler
- Phillip Marion Beyer
- Kayla Bone
- Morgan Elizabeth Brandon
- Brost & Strohmeyer Family Eye Care PC
- Alyssa Jene' Brown
- Krystal Brunelle
- Julie Marie Buford
- Edward Burke
All providers in Fredericktown, 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 Dec 30, 2018. 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.