Individual provider · Type 1 NPI

Theresa Joan Dennis, LCPC

Mental Health Counselor · Peoria, IL

NPI number 1134616790 Active

Practice location

2610 W Richwoods Blvd
Peoria, IL 61604-7112

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.003687 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1134616790

Theresa Joan Dennis, LCPC's National Provider Identifier is 1134616790, issued on Apr 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Peoria, IL. The record was last updated on Apr 19, 2018.