Individual
DR. GLENISHA LAVENE COLE FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCPC, NCC, CCTP
Contact information
Practice address
1761 N DILLEYS RD STE 201, GURNEE, IL 60031-1721
(224) 637-6999
Mailing address
414 RED CEDAR RD, LAKE VILLA, IL 60046-8627
(224) 703-4025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701014633
VA
101YM0800X
Mental Health Counselor
11033125
WI
101YM0800X
Mental Health Counselor
178.015753
IL
101YM0800X
Mental Health Counselor
Primary
180.014284
IL
Other
Enumeration date
08/05/2020
Last updated
03/19/2025
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