MR. Thomas Ellsworth Jenkins, MA, LPC

NPI #1538613237 in Normal, Illinois

Provider Information

NPI Number
1538613237
Entity Type
Individual
Name
MR. Thomas Ellsworth Jenkins, MA, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MA, LPC
Enumeration Date
Aug 10, 2016
Last Updated
Aug 10, 2016

Practice Location

Address
705 E LINCOLN ST
City
Normal
ZIP Code
61761-6406
Phone
(309) 451-9495

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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