Individual
JENELLE THOMPSON-KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Contact information
Practice address
2504 CHERRY HILLS DR, CHAMPAIGN, IL 61822-7507
(217) 417-2913
Mailing address
2504 CHERRY HILLS DR, CHAMPAIGN, IL 61822-7507
(217) 417-2913
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005320
IL
Other
Enumeration date
06/21/2023
Last updated
06/28/2023
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