Individual provider · Type 1 NPI
Laura Jansen, LCPC
Mental Health Counselor · Centralia, IL
NPI number
1396948220
Active
Practice location
616 N Beech St
Centralia, IL 62801-2506
Mailing address
10805 Shattuc Rd
Centralia, IL 62801-7829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 180007577 (IL) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1396948220
Laura Jansen, LCPC's National Provider Identifier is 1396948220, issued on Jun 7, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, IL. The record was last updated on Oct 6, 2026.