THECLA GAVIN, MAC, NCC, LPC
Counselor - Mental Health
Active
Individual
NPI: 1851904874
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | 178.016210 (IL) |
Frequently Asked Questions
NPI 1851904874 is the National Provider Identifier for THECLA GAVIN, MAC, NCC, LPC, a Counselor - Mental Health provider located in Peoria, IL. This NPI was enumerated on August 28, 2020.
THECLA GAVIN, MAC, NCC, LPC practices at 330 SW WASHINGTON ST, Peoria, IL 61602.
Quick Facts
- NPI
- 1851904874
- Type
- Individual
- Enumerated
- Aug 28, 2020
- Last Updated
- Aug 28, 2020
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