JACQUELYN A MITRA

NORMAL, IL
NPI1619121373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180 006966)
Enumeration Date2008-11-07
Last Update Date2010-02-01
Business Address
Mrs. JACQUELYN A MITRA LCPC
405 KAYS DR SUITE B
NORMAL, IL 61761-1979
Phone number: 309-862-0064
Mailing Address
Mrs. JACQUELYN A MITRA LCPC
405 KAYS DR SUITE B
NORMAL, IL 61761-1979
Phone number: 309-862-0064
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