Individual
APRIL MONIQUE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
(314) 469-4908
Mailing address
2211 WEYMOUTH DR STE B, BATON ROUGE, LA 70809-2017
(225) 923-3733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600964601
—
LA
Enumeration date
01/13/2020
Last updated
05/17/2023
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