Organization
STEPHANIE E. COLD LCPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE COLD LCPC, M.ED (OWNER)
(904) 703-0762
Entity
Organization
Contact information
Practice address
1623 N WESTERN AVE, CHICAGO, IL 60647-5321
(312) 521-0792
Mailing address
1818 N SAWYER AVE APT 2, CHICAGO, IL 60647-6801
(904) 703-0762
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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