Donnelly, Kathy

Donnelly, Kathy is an individual health care provider with primary practice located at 904 E. Martin Luther King Jr. Drive , Centralia IL 62801-3058. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Donnelly, Kathy can be contacted via phone (618) 533-1391.

Contact Information

Primary practice address
904 E. Martin Luther King Jr. Drive Centralia IL 62801-3058
Phone: (618) 533-1391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1891156568
LBN Legal business name Donnelly, Kathy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2016
Last updated Mar 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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