Provider Demographics
NPI:1639493927
Name:RALSTON, REBECCA VEE (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:VEE
Last Name:RALSTON
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:MS
Other - First Name:BECKY
Other - Middle Name:VEE
Other - Last Name:RALSTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2444 HIGHWAY 50
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-2508
Mailing Address - Country:US
Mailing Address - Phone:314-323-8592
Mailing Address - Fax:
Practice Address - Street 1:408 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2824
Practice Address - Country:US
Practice Address - Phone:314-323-8592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006037236101YP2500X
MO0433049101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool