person
Mr. Thomas Ellsworth Jenkins, MA,LPC
Professional Counselor in Normal, Illinois
NPI 1538613237

Thomas Ellsworth Jenkins is a Professional Counselor based in Normal, IL and is specialized in Professional. Thomas Ellsworth Jenkins practices in Normal, IL and has the professional credentials of MA,LPC. The NPI Number for Thomas Ellsworth Jenkins is 1538613237 and holds a License No. 178.004186 (Illinois).

The current practice location address for Thomas Ellsworth Jenkins is 705 E Lincoln St, Normal, IL and can be reached out via phone at 309-451-9495 and via fax at 309-451-9404.

Location: 705 E Lincoln St, Normal, IL, 61761-6406
person
Provider Profile Details
NPI Number
1538613237
Provider Name
Thomas Ellsworth Jenkins
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
705 E Lincoln St, Normal, IL, 61761-6406
Phone Number
309-451-9495
Fax Number
309-451-9404
Provider Enumeration Date
08/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
705 E Lincoln St
City
State
Zip
61761-6406
Phone Number
309-451-9495
Fax Number
309-451-9404
person
Provider Business Mailing Address Details
Address
705 E Lincoln St
City
State
Zip
61761-6406
Phone Number
309-451-9495
Fax Number
309-451-9404
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.004186 (Illinois)
Definition
Definition to come...
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