MRS. JACQUELYN MITRA, LCPC

Counselor - Mental Health

Active Individual
NPI: 1619121373

Practice Address

405 KAYS DR
SUITE B
Normal, IL 61761

Phone: (309) 862-0064

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 180 006966 (IL)

Frequently Asked Questions

NPI 1619121373 is the National Provider Identifier for MRS. JACQUELYN MITRA, LCPC, a Counselor - Mental Health provider located in Normal, IL. This NPI was enumerated on November 7, 2008.
MRS. JACQUELYN MITRA, LCPC practices at 405 KAYS DR, SUITE B, Normal, IL 61761.

Quick Facts

NPI
1619121373
Type
Individual
Enumerated
Nov 7, 2008
Last Updated
Feb 1, 2010

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