MS. Misty Jo Clemens, M.A., LCPC
NPI #1396021069 in Belleville, Illinois
Provider Information
- NPI Number
- 1396021069
- Entity Type
- Individual
- Name
- MS. Misty Jo Clemens, M.A., LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.A., LCPC
- Enumeration Date
- Oct 26, 2011
- Last Updated
- Oct 26, 2011
Practice Location
- Address
- 56 S 65TH ST
- Address 2
- SUITE 1
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-2945
- Phone
- (618) 795-7608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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