(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003530395
Provider Name: JENNIFER CARLETON LPC
Entity Type: Individual
Taxonomy Code: 101YP2500X
Specialty: Counselor
License Number: 178018284
Most Important Dates
Enumeration Date: 09/29/2022
Last Updated: 09/29/2022
Provider Practice Location
411 DEVONSHIRE DR
CHAMPAIGN
IL
618207286
Practice Location Phone/Fax
Phone: 2179043035
Fax:
Provider Mailing Location
411 DEVONSHIRE DR
CHAMPAIGN
IL
618207286
Provider Mailing Phone/Fax
Phone: 2179043035
Fax: