JENNA CLANCY
NPI 1104674118
Counselor - Mental Health in Springfield, IL
Active since May 07, 2024
About Jenna Clancy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA CLANCY (NPI 1104674118) is an individual mental health provider in Springfield, Illinois and active in the NPI registry since May 2024.
NPPES Registry Identity
NPI1104674118
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNA CLANCY
Location Address15 S OLD STATE CAPITOL PLZSpringfield, IL 62701-1567
Mailing Address4432 Saybrook LnHarrisburg, PA 17110-3477 · (717) 303-7707
Phone(815) 993-8724
Sole ProprietorYes
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1104674118 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
15 S OLD STATE CAPITOL PLZ, Springfield, IL 62701
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104674118, enumerated as an "individual" on May 07, 2024.
The provider is located at 15 S OLD STATE CAPITOL PLZ SPRINGFIELD, IL 62701 and the phone number is (815) 993-8724.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
