Donna Marie Cargill, MS NCC
Individual provider Active NPI Mental Health Counselor · Pekin, IL
NPI 1205891728 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1205891728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3248 Vandever
Pekin, IL 61554 - Phone
- (309) 347-5522
- Fax
- (309) 347-7302
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3248 Vandever
Pekin, IL 61554
Mailing address
3248 Vandever
Pekin, IL 61554
Phone (309) 347-5579
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All providers in Pekin, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.