Mark Hale, LCSW

NPI 1063977247 · on the registry since 2019

Practice

Address: 255 Spencer Rd Ste 101
Saint Peters, MO 63376
Phone: (636) 939-2550
Fax: (636) 939-2551
Organisation at this address: J Mandava Llc
Mojgan Makki Llc
Paul Simon Do Llc
Terry Diane Miller
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 39

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri