Provider Demographics
NPI:1891050563
Name:KASPRZAK BRATCHER, VERONICA L (LPC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:L
Last Name:KASPRZAK BRATCHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:L
Other - Last Name:KASPRZAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9824 WELLINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72908-9057
Mailing Address - Country:US
Mailing Address - Phone:479-222-8462
Mailing Address - Fax:
Practice Address - Street 1:205 S JT STITES
Practice Address - Street 2:
Practice Address - City:SALLISAW
Practice Address - State:AR
Practice Address - Zip Code:74955
Practice Address - Country:US
Practice Address - Phone:918-775-7787
Practice Address - Fax:918-775-3580
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6047455-35031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical