Individual
MRS. DONNA GIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MA,LCPC
Contact information
Practice address
501 S 4TH ST, SPRINGFIELD, IL 62701-1715
(618) 973-5072
Mailing address
8342 BURGETT LN, BEARDSTOWN, IL 62618-7748
(618) 973-5072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005628
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180005628
CREDENTIALING WITH SEVERAL INSURANCES FOR PRIVATE PRACTICE
IL
Enumeration date
01/25/2007
Last updated
05/10/2018
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