Individual
AMY N KELCH-COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC, CPT,EMDR
Contact information
Practice address
8801 N UNIVERSITY ST, PEORIA, IL 61615-1635
(309) 676-0538
(309) 214-0096
Mailing address
4228 N UNIVERSITY ST, PEORIA, IL 61614-6913
(309) 472-5283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178,012348
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.012348
LICENSE
IL
Enumeration date
11/29/2016
Last updated
06/06/2023
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