Provider Demographics
NPI:1467970061
Name:FECHTER, VANESSA MARIE (LSCSW)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:MARIE
Last Name:FECHTER
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 NW BROWN DR
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66618-1161
Mailing Address - Country:US
Mailing Address - Phone:788-231-9189
Mailing Address - Fax:
Practice Address - Street 1:112 SW 6TH AVE
Practice Address - Street 2:STE 206
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66603-3850
Practice Address - Country:US
Practice Address - Phone:785-231-9189
Practice Address - Fax:800-708-1339
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-03
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty