Individual provider · Type 1 NPI

Allegra Leigh Wentworth, BA

Mental Health Counselor · Paxton, IL

NPI number 1548937451 Active

Practice location

1510 W Ottawa Rd
Paxton, IL 60957-4090

Fax (217) 817-0379

Mailing address

PO Box 162
Paxton, IL 60957-0162

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548937451

Allegra Leigh Wentworth, BA's National Provider Identifier is 1548937451, issued on Aug 27, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Paxton, IL. The record was last updated on Aug 27, 2021.