Individual
MS. DONNA JEAN KASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4879 FOREST DR, ROCKFORD, IL 61109-4644
(815) 289-9212
Mailing address
4879 FOREST DR, ROCKFORD, IL 61109-4644
(815) 289-9212
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.005851
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180.005851
LICENSED CLINICAL PROFESSIONAL COUNSELOR
IL
01
—
75110
NATIONAL BOARD CERTIFIED COUNSELOR
IL
Enumeration date
02/03/2009
Last updated
10/22/2020
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