Individual
SAMUEL HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6753 ODELL ST, SAINT LOUIS, MO 63139-2532
(314) 604-5590
Mailing address
6753 ODELL ST, SAINT LOUIS, MO 63139-2532
(314) 604-5590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020014384
MO
Other
Enumeration date
12/14/2022
Last updated
08/29/2025
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