Individual
GAIL K BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
630 E WASHINGTON ST FL 3, SPRINGFIELD, IL 62701-1316
(217) 544-0842
Mailing address
141 S REDWOOD LN, DECATUR, IL 62522-2571
(217) 371-1633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.005064
IL
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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