Individual provider · Type 1 NPI
Teresa Macdavitt, LCPC
Professional Counselor · Ottawa, IL
NPI number
1760138242
Active
Practice location
747 E Etna Rd Unit B
Ottawa, IL 61350-3777
Mailing address
22 Oak Ridge Dr
La Salle, IL 61301-9648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1760138242
Teresa Macdavitt, LCPC's National Provider Identifier is 1760138242, issued on Feb 23, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ottawa, IL. The record was last updated on Feb 23, 2022.