Individual
ELENA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W WASHINGTON ST STE 230, EAST PEORIA, IL 61611-2560
(309) 477-5607
Mailing address
111 W WASHINGTON ST STE 230, EAST PEORIA, IL 61611-2560
(309) 477-5607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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