person
Mistie Ann Tennant, LCPC
Mental Health Counselor in Belleville, Illinois
NPI 1265066880

Mistie Ann Tennant is a Mental Health Counselor based in Belleville, IL and is specialized in Mental Health. Mistie Ann Tennant practices in Belleville, IL and has the professional credentials of LCPC. The NPI Number for Mistie Ann Tennant is 1265066880 and holds a License No. 180.012771 (Illinois).

The current practice location address for Mistie Ann Tennant is 115 Lincoln Place Ct Ste 102, Belleville, IL and can be reached out via phone at 314-643-8664 and via fax at 614-416-1401. You can also correspond with Mistie Ann Tennant through the mailing address at 115 LINCOLN PLACE CT STE 102, BELLEVILLE, IL - 62221-5876 (mailing address contact number: 314-643-8664).

Location: 115 Lincoln Place Ct Ste 102, Belleville, IL, 62221-5876
person
Provider Profile Details
NPI Number
1265066880
Provider Name
Mistie Ann Tennant
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
115 Lincoln Place Ct Ste 102, Belleville, IL, 62221-5876
Phone Number
314-643-8664
Fax Number
614-416-1401
Provider Enumeration Date
02/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
115 Lincoln Place Ct Ste 102
City
State
Zip
62221
Phone Number
314-643-8664
Fax Number
614-416-1401
person
Provider Business Mailing Address Details
Address
115 Lincoln Place Ct Ste 102
City
State
Zip
62221
Phone Number
314-643-8664
Fax Number
614-416-1401
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.012771 (Illinois)
Definition
Definition to come...
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