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Organization
HELLEN G. MCDONALD
Active
Organization
HELLEN G. MCDONALD
Active
Other names
Hellen G. McDonald Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELLEN G MCDONALD LCSW (PSYCHOTHERAPIST/OWNER)
(217) 378-8575
Entity
Organization
Contact information
Practice address
44 E MAIN STREET, #505, CHAMPAIGN, IL 61820
(217) 378-8575
Mailing address
44 E MAIN ST, #505, CHAMPAIGN, IL 61820-3636
(217) 378-8575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149009801
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11589371
CAQH #
—
01
—
149.0098901
ILLINOIS LICENCE TO PRACTICE AS LCSW
—
01
—
1932219037
TYPE I NPI
IL
Enumeration date
08/31/2009
Last updated
08/31/2009
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