Organization
JO ELLEN CARL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ELLEN CARL LCPC (PRESIDENT)
(815) 935-0887
Entity
Organization
Contact information
Practice address
110 MOONEY DR STE 1, BOURBONNAIS, IL 60914-2172
(815) 933-7887
(815) 933-7870
Mailing address
110 MOONEY DR STE 1, BOURBONNAIS, IL 60914-2172
(815) 933-7887
(815) 933-7870
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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