Individual
CATHERINE B. MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
11710 OLD BALLAS RD, SUITE 110, SAINT LOUIS, MO 63141-7076
(314) 567-1958
(314) 567-0037
Mailing address
3009 N BALLAS RD, SUITE 227A, SAINT LOUIS, MO 63131-2322
(314) 567-5000
(314) 567-3110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002407
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179648
BLUE CROSS BLUE SHIELD
MO
01
—
2258222
CIGNA
MO
Enumeration date
10/04/2006
Last updated
07/08/2007
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