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Individual

CHARLES ALEX PARLETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1709 JUMER DR STE A, BLOOMINGTON, IL 61704-0914
(300) 846-3201
Mailing address
1111 N WELLS ST STE 400, CHICAGO, IL 60610-7632

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/23/2017
Last updated
07/22/2024
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