Individual provider · Type 1 NPI
Misty Jo Clemens, M.A., LCPC
Mental Health Counselor · Belleville, IL
NPI number
1396021069
Active
Practice location
56 S 65th St, Suite 1
Belleville, IL 62223-2945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180.006844 (IL) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1396021069
Misty Jo Clemens, M.A., LCPC's National Provider Identifier is 1396021069, issued on Oct 26, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Belleville, IL. The record was last updated on Oct 26, 2011.