JOAN M BRACKMANN


Address: 3672 B Arsenal St., St. Louis, MO 63116-4821
Phone: 3146649766

JOAN M BRACKMANN (NPI# 1679760276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679760276
Entity Type Individual
Full Name JOAN M BRACKMANN
Credential M.A., L.P.C.
Practice Address 3672 B Arsenal St.
St. Louis
MO 63116-4821
Practice Telephone 3146649766
Practice Fax Number 3142469646
Mailing Telephone 3146649766
Mailing Fax Number 3142469646
Enumeration Date 2007-09-27
Last Update Date 2007-09-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
2000150928 MO Behavioral Health & Social Service Providers

Office Location

Street Address 3672 B ARSENAL ST.
City ST. LOUIS
State MO
Zip Code 63116-4821

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1639426620 Candice Daily Home Health 6824 Salzburger Ave, Saint Louis, MO 63116 2012-08-08
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1053533018 Ryan Wesley Riney Pharmacist 3865 Gravois, St. Louis, MO 63116 2007-05-02
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1750454484 Hector Ocampo Pineda Internal Medicine 4460 Chippewa St, St Louis, MO 63116 2006-11-17
1003926130 Ann Heath Pietroburgo Occupational Therapist 4600 Chippewa, Ste F, St Louis, MO 63116 2006-08-30
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215491329 Latonya Allen Counselor 1612 S. Big Bend Blvd, St. Louis, MO 63117 2019-01-23
1861901480 Christina Cummings Counselor 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 2017-09-26
1114319092 Kathi Wallace Counselor 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 2015-03-02
1225436959 Shelley Stretch Counselor 4066 Dunnica Avenue, St. Louis, MO 63118 2014-12-11
1598169120 Vivian Carr Counselor 5266 Sir Bors Drive, St. Louis, MO 63129 2014-10-10
1639423296 Daniella Elaine Harris Counselor 10000 Watson Rd., Suite 1l3, St. Louis, MO 63126-1843 2012-11-05
1013279157 Jeanna Rufet Knight Counselor 2173 Palestra Drive, Apt. 3, St. Louis, MO 63146 2012-06-14
1851519409 Ajuma Kaleem Muhammad Counselor 12052 Cato Dr., St. Louis, MO 63033 2007-04-20
1407972250 Mary E Harper Counselor 1066 Executive Parkway Drive, Suite 103, St. Louis, MO 63141 2007-03-22
1376677724 Michelle Meier Counselor 110 N. Elm, St. Louis, MO 63119 2007-03-16
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Competitor

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City ST. LOUIS
Zip Code 63116

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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