Alicia K Gatti, LMFT
Marriage & Family Therapist in Jacksonville, IL. Individual provider (NPI-1).
NPI number1760614549
StatusActive
Last updated in NPPESJun 14, 2023
Details
- NPI
- 1760614549
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alicia K Gatti
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2009
- Certification date
- Jun 14, 2023
- Last updated
- Jun 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166001020 | IL | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Alicia K Mullen (Former Name)
Practice location
201 E Morgan StJacksonville, IL 62650-2587
Phone 217-371-3897
Mailing address
710 N 8th StSpringfield, IL 62702-6324
Phone 217-525-1064 · Fax 217-525-1651
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