person
Mrs. Bridgette Denise Mack, LPC
Professional Counselor in Lees Summit, Missouri
NPI 1144423625

Bridgette Denise Mack is a Professional Counselor based in Kansas City, MO and is specialized in Professional. Bridgette Denise Mack practices in Lees Summit, MO and has the professional credentials of LPC. The NPI Number for Bridgette Denise Mack is 1144423625 and holds a License No. 2001031951 (Missouri).

The current practice location address for Bridgette Denise Mack is 312 Sw Greenwich Dr Ste 733, Lees Summit, MO and can be reached out via phone at 913-712-0565 and via fax at 816-537-8605.

Location: 312 Sw Greenwich Dr Ste 733, Lees Summit, MO, 64130-4447
person
Provider Profile Details
NPI Number
1144423625
Provider Name
Bridgette Denise Mack
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
312 Sw Greenwich Dr Ste 733, Lees Summit, MO, 64130-4447
Phone Number
913-712-0565
Fax Number
816-537-8605
Provider Enumeration Date
06/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
499012508 05 MO
institution
Provider Business Practice Location Address Details
Address
312 Sw Greenwich Dr Ste 733
City
State
Zip
64082-4408
Phone Number
913-712-0565
Fax Number
816-537-8605
person
Provider Business Mailing Address Details
Address
312 Sw Greenwich Dr Ste 733
City
State
Zip
64082-4408
Phone Number
913-712-0565
Fax Number
816-537-8605
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2001031951 (Missouri)
Definition
Definition to come...
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