Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELYN A MITRA, LCPC
ActiveMRS. JACQUELYN A MITRA, LCPC is a Mental Health Counselor healthcare provider located in NORMAL, Illinois. NPI 1619121373 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · NORMAL, IL
Registration Details
- NPI Number
- 1619121373
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 7, 2008 (17.737050970587 yrs)
- Last Updated
- Feb 1, 2010
- License
-
180 006966 (IL)
Practice Information
- Address
-
405 KAYS DRSUITE BNORMAL, IL, 617611979Browse IL providers · Browse ZIP 61761
- Phone
- 3098620064
- Fax
- 3098621542
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in NORMAL, IL
| Name | Credential | NPI |
|---|---|---|
| MR. RONALD ANTON MAIER | M.A., L.C.P.C. | 1538330493 |
| BRYAN J DENURE | LCPC | 1669798716 |
| MR. ANDREW PETER NOVINSKA | LCPC | 1619276243 |
| ALYA ABBED | MA, LCPC | 1053651083 |
| ASHLEY R. DAGNER | MS, LCPC | 1871015958 |
| SUSAN L PLEZIA | MA LPC | 1689208241 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.