Gwen M Donley
Counselor, Professional in O Fallon, IL. Individual provider (NPI-1).
NPI number1528811015
StatusActive
Last updated in NPPESApr 8, 2024
Details
- NPI
- 1528811015
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Gwen M Donley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2024
- Certification date
- Apr 6, 2024
- Last updated
- Apr 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2024003430 | MO | Yes |
Practice location
210 Pierce BlvdO Fallon, IL 62269-2512
Phone 618-803-8173
Mailing address
210 Pierce BlvdO Fallon, IL 62269-2512
Phone 618-803-8173
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All 42 Professional Counselor providers in O Fallon · All 1,289 providers in O Fallon
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