Individual
ASHLEY COSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR, LCPC
Contact information
Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 383-1850
(217) 383-3439
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178012543
IL
101YP2500X
Professional Counselor
Primary
180012274
IL
Other
Enumeration date
04/07/2019
Last updated
03/22/2023
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