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Provider Information for 1093354979

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

EMILY CLAIRE DONOVAN LPC

Gender: FEMALE

Individual NPI: 1093354979

Calendar   Last Updated:  2019-12-25
  Certification Date:  2019-12-25

Details

Name Value
NPI 1093354979
Enumeration Date 2019-12-25
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 2860 KESWICK CT
SWANSEA, IL 62226-5986
United States

Phone: 618-310-6221 | Fax:
View Map External Link
Primary Practice Address 3 THE PINES CT STE B
SAINT LOUIS, MO 63141-6081
United States

Phone: 618-310-6221 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 193400000X SINGLE SPECIALTY GROUP
101YP2500X - Counselor Professional