Most Relevant Information
Provider Data
| NPI Number: | 1003316449 |
| Provider Name: | ERIN RACHEL HENDRICKSON MAC, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 2016013594 |
Most Important Dates
| Enumeration Date: | 02/12/2018 |
| Last Updated: | 02/12/2018 |
Provider Practice Location
1300 HAMPTON AVE
SAINT LOUIS
MO
631393138
Practice Location Phone/Fax
| Phone: | 3149133691 |
| Fax: |
Provider Mailing Location
686 RUSTIC VALLEY DR
BALLWIN
MO
630216241
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |