Provider Demographics
NPI:1003083791
Name:MCNORTON-MABIE, KRISTEL LEIGH (MA, LPC)
Entity type:Individual
Prefix:MISS
First Name:KRISTEL
Middle Name:LEIGH
Last Name:MCNORTON-MABIE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:KRISTEL
Other - Middle Name:
Other - Last Name:MCNORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63022-0323
Mailing Address - Country:US
Mailing Address - Phone:314-852-9991
Mailing Address - Fax:636-333-4510
Practice Address - Street 1:13612 BIG BEND RD
Practice Address - Street 2:
Practice Address - City:VALLEY PARK
Practice Address - State:MO
Practice Address - Zip Code:63088-1447
Practice Address - Country:US
Practice Address - Phone:314-578-2100
Practice Address - Fax:636-333-4510
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006009844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty