person
Thecla A Gavin, MAC,NCC,LPC
Mental Health Counselor in Peoria, Illinois
NPI 1851904874

Thecla A Gavin is a Mental Health Counselor based in Peoria, IL and is specialized in Mental Health. Thecla A Gavin practices in Peoria, IL and has the professional credentials of MAC,NCC,LPC. The NPI Number for Thecla A Gavin is 1851904874 and holds a License No. 178.016210 (Illinois).

The current practice location address for Thecla A Gavin is 330 Sw Washington St, Peoria, IL and can be reached out via phone at 309-676-2400 and via fax at 309-676-6022.

Location: 330 Sw Washington St, Peoria, IL, 61602-1406
person
Provider Profile Details
NPI Number
1851904874
Provider Name
Thecla A Gavin
Credential
MAC,NCC,LPC
Provider Entity Type
Individual
Gender
Female
Address
330 Sw Washington St, Peoria, IL, 61602-1406
Phone Number
309-676-2400
Fax Number
309-676-6022
Provider Enumeration Date
08/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
330 Sw Washington St
City
State
Zip
61602-1406
Phone Number
309-676-2400
Fax Number
309-676-6022
person
Provider Business Mailing Address Details
Address
330 Sw Washington St
City
State
Zip
61602-1406
Phone Number
309-676-2400
Fax Number
309-676-6022
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.016210 (Illinois)
Definition
Definition to come...
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