Individual provider · Type 1 NPI

Carol Jo Mack, LCSW

Mental Health Counselor · St. Louis, MO

NPI number 1356566293 Active

Practice location

8631 Delmar Blvd
St. Louis, MO 63124-1990

Fax (314) 754-2800

Mailing address

2800 Elm St
St. Charles, MO 63301-4618

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2003032210 (MO)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1356566293

Carol Jo Mack, LCSW's National Provider Identifier is 1356566293, issued on Apr 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.