Individual
MR. EDDIE MCCASKILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC LCSW NCC
Contact information
Practice address
12613 MARINE, CREVE COEUR, MO 63146-2413
(314) 484-9984
(314) 514-1851
Mailing address
12613 MARINE AVE, CREVE COEUR, MO 63146-2413
(314) 484-9984
(314) 514-1851
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
001087
MO
101YP2500X
Professional Counselor
000723
MO
1041C0700X
Clinical Social Worker
Primary
000723
MO
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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