Gerdovich, Macayla Marie

Gerdovich, Macayla Marie is an individual health care provider with primary practice located at 643 W Main St , Ottawa IL 61350-2717. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gerdovich, Macayla Marie can be contacted via phone (866) 541-5299.

Contact Information

Primary practice address
643 W Main St Ottawa IL 61350-2717
Phone: (866) 541-5299
Fax: (815) 214-2101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 2368884 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.013904 Illinois

Profile Details

NPI number 1427526193
LBN Legal business name Gerdovich, Macayla Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2018
Last updated Nov 11th, 2018 - about 6 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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