MRS. Jacquelyn A Mitra, LCPC
NPI #1619121373 in Normal, Illinois
Provider Information
- NPI Number
- 1619121373
- Entity Type
- Individual
- Name
- MRS. Jacquelyn A Mitra, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC
- Enumeration Date
- Nov 7, 2008
- Last Updated
- Feb 1, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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