Individual
ERICA NICOLE BRANDLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-6356
Mailing address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2018021650
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490060888
—
MO
Enumeration date
10/10/2018
Last updated
12/21/2020
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