Individual
MRS. JO ELLEN CARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
110 MOONEY DR, SUITE #1, BOURBONNAIS, IL 60914-2171
(815) 933-7887
(815) 933-7870
Mailing address
110 MOONEY DR, SUITE #1, BOURBONNAIS, IL 60914-2171
(815) 933-7887
(815) 933-7870
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
01/27/2006
Last updated
07/08/2007
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