NPI 1013210194

Poorva Talapatra, MEDLCPC

Practitioner Mental Health Counselor Carbondale, IL

Practice location

Address: 400 S Lewis Ln, Carbondale, IL 62901-3547
Phone: (618) 519-9900
Fax: (618) 529-1384
Mailing address: PO Box 577 109 California St, Carterville, IL 62918-0577

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 178005097 (IL)

Other Counselor providers in Illinois →

Registry record

NPI: 1013210194
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2010
Record last updated: 25 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.