Search › Illinois › 101YP2500X
Katie Mckelvy-Gibbons, MA, LCPC
NPI 1629668165 · on the registry since 2021 · sole proprietor
Practice
- Address
- 200 N Lincoln Ave
O Fallon, IL 62269 - Phone
- (618) 920-6119
- Fax
- (618) 288-4669
- Organisation at this address
- Karla Smith Foundation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois