Individual
MS. GAIA COSGROVE MCVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1220 S PARK AVE, HERRIN, IL 62948-4128
(618) 988-1757
(618) 988-1700
Mailing address
1220 S PARK AVE, D, HERRIN, IL 62948-4128
(618) 988-1757
(618) 988-1700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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