Clemens, Misty Jo

Clemens, Misty Jo is an sole proprietor health care provider with primary practice located at 56 S 65Th St Suite 1, Belleville IL 62223-2945. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clemens, Misty Jo can be contacted via phone (618) 795-7608.

Contact Information

Primary practice address
56 S 65Th St Suite 1 Belleville IL 62223-2945
Phone: (618) 795-7608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.006844 Illinois

Profile Details

NPI number 1396021069
LBN Legal business name Clemens, Misty Jo
Credentials M.A., LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2011
Last updated Oct 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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