Provider Demographics
NPI:1336423912
Name:DONNELLY, MONICA F (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:F
Last Name:DONNELLY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 OLYMPUS DR
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-4827
Mailing Address - Country:US
Mailing Address - Phone:708-614-1782
Mailing Address - Fax:708-429-5868
Practice Address - Street 1:7050 CENTENNIAL DR
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-1649
Practice Address - Country:US
Practice Address - Phone:708-614-1782
Practice Address - Fax:708-429-5868
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional