Individual
NICOLE COSSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
333 N MICHIGAN AVE STE 1400, CHICAGO, IL 60601-4011
(312) 815-9660
Mailing address
1610 N WHIPPLE ST APT 3, CHICAGO, IL 60647-5081
(347) 221-7631
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178009553
IL
103TC0700X
Clinical Psychologist
Primary
071010135
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2019
Last updated
12/29/2019
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