Hellen G. Mcdonald Counseling | |
44 E Main Street #505 Champaign IL 61820 | |
(217) 378-8575 | |
Not Available |
Full Name | Hellen G. Mcdonald Counseling |
---|---|
Speciality | Social Worker - Clinical |
Location | 44 E Main Street, Champaign, Illinois |
Authorized Official Name and Position | Hellen G Mcdonald (PSYCHOTHERAPIST/OWNER) |
Authorized Official Contact | 2173788575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hellen G. Mcdonald Counseling 44 E Main St #505 Champaign IL 61820-3636 Ph: (217) 378-8575 | Hellen G. Mcdonald Counseling 44 E Main Street #505 Champaign IL 61820 Ph: (217) 378-8575 |
NPI Number | 1063645612 |
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Provider Enumeration Date | 08/31/2009 |
Last Update Date | 08/31/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063645612 | NPI | - | NPPES |
149.0098901 | Other | ILLINOIS LICENCE TO PRACTICE AS LCSW | |
11589371 | Other | CAQH # | |
1932219037 | Other | IL | TYPE I NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149009801 (Illinois) | Primary |
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