Individual provider · Type 1 NPI

Kimberly Yvette Mack, MAADC I

Addiction (Substance Use Disorder) Counselor · St. Louis, MO

NPI number 1093671182 Active

Practice location

9733 Saint Charles Rock Rd
St. Louis, MO 63114-2625

Call (314) 423-7030 Map

Fax (314) 423-9511

Mailing address

5512 Mable Ave Apt B3
St. Louis, MO 63140-1414

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093671182

Kimberly Yvette Mack, MAADC I's National Provider Identifier is 1093671182, issued on Jan 1, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Louis, MO. The record was last updated on Jan 1, 2026.