Individual
KENNETH J. MCCAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
4390 LINDELL BLVD, SUITE 200, SAINT LOUIS, MO 63108-2735
(314) 956-0547
Mailing address
4390 LINDELL BLVD, SUITE 200, SAINT LOUIS, MO 63108-2735
(314) 956-0547
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178003806
IL
101YP2500X
Professional Counselor
Primary
2008012184
MO
Other
Enumeration date
05/25/2015
Last updated
05/25/2015
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