person
Mrs. Thelma Jean Carpenter-ellis, LCPC
Professional Counselor in Bloomington, Illinois
NPI 1053527093

Thelma Jean Carpenter-ellis is a Professional Counselor based in Bloomington, IL and is specialized in Professional. Thelma Jean Carpenter-ellis practices in Bloomington, IL and has the professional credentials of LCPC. The NPI Number for Thelma Jean Carpenter-ellis is 1053527093 and holds a License No. (Illinois).

The current practice location address for Thelma Jean Carpenter-ellis is 16116 Inverrary Ln, Bloomington, IL and can be reached out via phone at 309-662-5816.

Location: 16116 Inverrary Ln, Bloomington, IL, 61704
person
Provider Profile Details
NPI Number
1053527093
Provider Name
Thelma Jean Carpenter-ellis
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
16116 Inverrary Ln, Bloomington, IL, 61704
Phone Number
309-662-5816
Fax Number
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05732111 01 IL LCPC
institution
Provider Business Practice Location Address Details
Address
16116 Inverrary Ln
City
State
Zip
61704-5580
Phone Number
309-662-5816
Fax Number
person
Provider Business Mailing Address Details
Address
16116 Inverrary Ln
City
State
Zip
61704-5580
Phone Number
309-662-5816
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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