Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 180.004791 | IL |
NPI | 1003054396 |
---|---|
Provider Name | Ms. Alma J. Mccaskill |
First Address | Mokena, IL 60448 |
Second Address | Mokena, IL 60448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2009 |
Last Update Date | 26/01/2009 |