Whalio Doctors

NPI 1033464292

Kerry Dean Branum, LPC

Practitioner Counselor Saint James, MO

Practice location

Address
697 State Route B Unit B, Saint James, MO 65559-1056
Phone
(636) 384-0540

Registered specialties

Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 2012022789 (MO)

Registry record

NPI
1033464292
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Jul 2012
Record last updated
18 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.