SearchIllinoisMental Health Counselor

Jacquelyn Mitra, LCPC

NPI 1619121373 · on the registry since 2008

Practice

Address
405 Kays Dr
Suite B
Normal, IL 61761
Phone
(309) 862-0064
Fax
(309) 862-1542
Organisation at this address
Mental Wellness Center Inc
Central Il Psychiatric Associates, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois