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:

Map and Directions

Health care specialties

Specialty	Code	License #	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 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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