Individual
BELVA J GADLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2570 FEDERAL DRIVE, DECATUR, IL 62526
(217) 872-1003
(217) 233-4150
Mailing address
2570 FEDERAL DRIVE, DECATUR, IL 62526
(217) 872-1003
(217) 233-4150
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180002062
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05821971
BCBS
—
Enumeration date
11/06/2006
Last updated
08/27/2009
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