MRS. Thelma Jean Carpenter-Ellis, L.C.P.C.
NPI #1053527093 in Bloomington, Illinois
Provider Information
- NPI Number
- 1053527093
- Entity Type
- Individual
- Name
- MRS. Thelma Jean Carpenter-Ellis, L.C.P.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- L.C.P.C.
- Enumeration Date
- May 15, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 16116 INVERRARY LN
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-5580
- Phone
- (309) 662-5816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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