Individual
CHELSE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1003 N CUMMINGS LN, WASHINGTON, IL 61571-9646
(309) 444-1000
Mailing address
1003 N CUMMINGS LN, WASHINGTON, IL 61571-9646
(309) 444-1000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178018282
IL
101YM0800X
Mental Health Counselor
Primary
180016566
IL
101YP2500X
Professional Counselor
178018282
IL
Other
Enumeration date
08/22/2022
Last updated
11/15/2024
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