KELLEN M CARTER

BLOOMINGTON, IL
NPI1356167340
Former NameKATELYN M CARTER
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-11-25
Last Update Date2024-11-25
Business Address
KELLEN M CARTER
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
Mailing Address
KELLEN M CARTER
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
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