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Poorva Talapatra, MED,LCPC
Mental Health Counselor in Carbondale, Illinois
NPI 1013210194

Poorva Talapatra is a Mental Health Counselor based in Carterville, IL and is specialized in Mental Health. Poorva Talapatra practices in Carbondale, IL and has the professional credentials of MED,LCPC. The NPI Number for Poorva Talapatra is 1013210194 and holds a License No. 178005097 (Illinois).

The current practice location address for Poorva Talapatra is 400 S Lewis Ln, Carbondale, IL and can be reached out via phone at 618-519-9900 and via fax at 618-529-1384.

Location: 400 S Lewis Ln, Carbondale, IL, 62918-0577
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Provider Profile Details
NPI Number
1013210194
Provider Name
Poorva Talapatra
Credential
MED,LCPC
Provider Entity Type
Individual
Gender
Female
Address
400 S Lewis Ln, Carbondale, IL, 62918-0577
Phone Number
618-519-9900
Fax Number
618-529-1384
Provider Enumeration Date
12/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370966854024 05 IL
institution
Provider Business Practice Location Address Details
Address
400 S Lewis Ln
City
State
Zip
62901-3547
Phone Number
618-519-9900
Fax Number
618-529-1384
person
Provider Business Mailing Address Details
Address
400 S Lewis Ln
City
State
Zip
62901-3547
Phone Number
618-519-9900
Fax Number
618-529-1384
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178005097 (Illinois)
Definition
Definition to come...
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