Individual
DONNA JEAN MOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, MS ED, CSADC
Contact information
Practice address
4409 MAINE ST, QUINCY, IL 62305-5849
(217) 223-0423
(217) 223-0461
Mailing address
3818 N 24TH ST, QUINCY, IL 62305-8628
(217) 223-0413
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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