person
Michel Antonia Carter
Professional Counselor in Bloomington, Illinois
NPI 1073189585

Michel Antonia Carter is a Professional Counselor based in Bloomington, IL and is specialized in Professional. Michel Antonia Carter practices in Bloomington, IL. The NPI Number for Michel Antonia Carter is 1073189585 and holds a License No. 178016527 (Illinois).

The current practice location address for Michel Antonia Carter is 205 N Williamsburg Dr Ste A, Bloomington, IL and can be reached out via phone at 309-807-5077 and via fax at 309-214-9679.

Location: 205 N Williamsburg Dr Ste A, Bloomington, IL, 61704-7721
person
Provider Profile Details
NPI Number
1073189585
Provider Name
Michel Antonia Carter
Credential
Provider Entity Type
Individual
Gender
Female
Address
205 N Williamsburg Dr Ste A, Bloomington, IL, 61704-7721
Phone Number
309-807-5077
Fax Number
309-214-9679
Provider Enumeration Date
06/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
205 N Williamsburg Dr Ste A
City
State
Zip
61704-7721
Phone Number
309-807-5077
Fax Number
309-214-9679
person
Provider Business Mailing Address Details
Address
205 N Williamsburg Dr Ste A
City
State
Zip
61704-7721
Phone Number
309-807-5077
Fax Number
309-214-9679
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178016527 (Illinois)
Definition
Definition to come...
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