Individual
ELISE D MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
455 BUENA VISTA AVE APT 106, ALAMEDA, CA 94501-1984
(309) 612-3817
Mailing address
455 BUENA VISTA AVE APT 106, ALAMEDA, CA 94501-1984
(309) 612-3817
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.020009
IL
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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