Provider Demographics
NPI:1588312904
Name:BRINKMANN, SARAH ESTELLENE (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ESTELLENE
Last Name:BRINKMANN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 RIVER DALE DR APT 203
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-4926
Mailing Address - Country:US
Mailing Address - Phone:636-497-6160
Mailing Address - Fax:
Practice Address - Street 1:1311 RIVER DALE DR APT 203
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-4926
Practice Address - Country:US
Practice Address - Phone:636-497-6160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017004865101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional