Provider / Organization | NPI | Date Certified |
---|---|---|
DENISE ELAINE FATTIC | 1023848959 | 2024-08-11 |
Denise Elaine Fattic is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023848959. Registration indicates Denise Elaine Fattic is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Denise Elaine Fattic PLPC |
Practice Office Address | 230 S BEMISTON AVE STE 920 CLAYTON, MO US |
Practice Office Telephone | 8003536402 |
Mailing Address | 230 S BEMISTON AVE STE 920 CLAYTON, MO 631051997 US |
Business Telephone | 8003536402 |
Code | Practice | License No State |
---|---|---|
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 2024029153
MO |