Provider Demographics
NPI:1053088484
Name:BRATTON, NANETTE H (MS, LPC)
Entity Type:Individual
Prefix:
First Name:NANETTE
Middle Name:H
Last Name:BRATTON
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 BRIAR CREEK CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-2458
Mailing Address - Country:US
Mailing Address - Phone:636-851-5456
Mailing Address - Fax:
Practice Address - Street 1:356 BRIAR CREEK CT
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-2458
Practice Address - Country:US
Practice Address - Phone:636-578-5802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002401101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional