Mrs. Jacquelyn A Mitra, LCPC
Mrs. Jacquelyn A Mitra, LCPC is a Mental Health Counselor in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
What do these letters mean?
- LCPC — Licensed Clinical Professional Counselor
- A licensed clinical counsellor.
Practice location Address checks out
405 Kays Dr Ste BNormal, IL 61761-1979
Phone: (309) 862-0064
Fax: (309) 862-1542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 180 006966 (IL) |
|---|
Record details
| NPI number | 1619121373 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCPC |
| Sole proprietor | No |
| NPI enumerated | November 7, 2008 |
| Last updated in NPPES | February 1, 2010 |
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