Individual
MARK MANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, ME.D.
Contact information
Practice address
232 VANCE RD STE 202B, VALLEY PARK, MO 63088-1575
(636) 489-9575
Mailing address
232 VANCE RD STE 202B, VALLEY PARK, MO 63088-1575
(636) 489-9575
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019006481
MO
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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