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: |