Individual provider · Type 1 NPI

Thelma Jean Carpenter-Ellis, L.C.P.C.

Professional Counselor · Bloomington, IL

NPI number 1053527093 Active

Practice location

16116 Inverrary Ln
Bloomington, IL 61704-5580

Call (309) 662-5816 Map

Mailing address

16116 Inverrary Lane
Bloomington, IL 61704

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1053527093

Thelma Jean Carpenter-Ellis, L.C.P.C.'s National Provider Identifier is 1053527093, issued on May 15, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bloomington, IL. The record was last updated on Jul 8, 2007.