Individual
MR. JAMES WILLIAM DONALD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
5101 WASHINGTON ST, SUITE 11 ROOM 1115, GURNEE, IL 60031-5916
(847) 313-9659
(847) 557-1418
Mailing address
5101 WASHINGTON ST, SUITE 11 ROOM 1115, GURNEE, IL 60031-5916
(847) 313-9659
(847) 557-1418
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-000792
IL
101YP2500X
Professional Counselor
1815
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12482712
CAQH
IL
Enumeration date
09/06/2012
Last updated
05/06/2013
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