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Individual

AMY N KELCH-COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, CADC, CPT,EMDR

Contact information

Practice address
1605 W CANDLETREE DR STE 101, PEORIA, IL 61614-1596
(309) 676-0538
(309) 214-0096
Mailing address
228 E OAK PARK DR, PEORIA, IL 61614-7412
(309) 472-5283

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178,012348
IL
101YP2500X
Professional Counselor
Primary
180015321
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
178.012348
LICENSE
IL
Enumeration date
11/29/2016
Last updated
06/02/2026
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