Individual
JENNIFER CARLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
411 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7286
(217) 904-3035
Mailing address
411 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7286
(217) 904-3035
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178018284
IL
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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