Individual
BENJAMIN MICHAEL COLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, CCM
Contact information
Practice address
3500 LACEY RD, DOWNERS GROVE, IL 60515-5422
(630) 824-5101
Mailing address
3500 LACEY RD, DOWNERS GROVE, IL 60515-5422
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.009954
IL
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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