Individual
CARLA MARIA DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(172) 362-6262
Mailing address
151 N MAIN ST, DECATUR, IL 62523-1206
(172) 362-6262
(217) 362-6290
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.018104
IL
Other
Enumeration date
11/15/2022
Last updated
09/30/2025
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