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Carolynne Jorgenson

Counselor, Professional in Mount Vernon, IL. Individual provider (NPI-1).

NPI number1164278784
StatusActive
Last updated in NPPESApr 25, 2024

Details

NPI
1164278784
Entity type
Individual (NPI-1)
Name
Carolynne Jorgenson
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 25, 2024
Certification date
Apr 25, 2024
Last updated
Apr 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional180.015123ILYes

Practice location

18 Webster Hill Est
Mount Vernon, IL 62864-2346

Phone 815-992-1911

Mailing address

18 Webster Hill Est
Mount Vernon, IL 62864-2346

Phone 815-992-1911

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