Mary Jo McDonnell, LCPC
Counselor, Professional in Addison, IL. Individual provider (NPI-1).
NPI number1336770239
StatusActive
Last updated in NPPESApr 7, 2020
Details
- NPI
- 1336770239
- Entity type
- Individual (NPI-1)
- Name
- Mary Jo McDonnell
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2020
- Certification date
- Apr 7, 2020
- Last updated
- Apr 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | IL | Yes |
Practice location
303 W Lake StAddison, IL 60101-2586
Phone 630-305-5164
Mailing address
303 W Lake StAddison, IL 60101-2586
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