Mcdonald, Krista Michelle

Mcdonald, Krista Michelle is an individual health care provider with primary practice located at 220 E State St Ste 2A , O Fallon IL 62269-1443. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mcdonald, Krista Michelle can be contacted via phone (618) 402-4676.

Contact Information

Primary practice address
220 E State St Ste 2A O Fallon IL 62269-1443
Phone: (618) 402-4676
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.018860 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.015484 Illinois

Profile Details

NPI number 1245615426
LBN Legal business name Mcdonald, Krista Michelle
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2015
Last updated Sep 13th, 2020 - about 5 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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