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Individual

MRS. ELIZABETH A HENSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., L.C.P.C.

Contact information

Practice address
4112 N WATER TOWER PL, MOUNT VERNON, IL 62864-6295
(618) 242-6944
(618) 242-6726
Mailing address
4112 N WATER TOWER PL, MOUNT VERNON, IL 62864-6295
(618) 242-6944
(618) 242-6726

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.001785
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11928344
CAQH PROVIDER
IL
Enumeration date
07/28/2006
Last updated
04/06/2014
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