Organization
PCK BEHAVIORAL HEALTH GROUP
Active
Other names
PHET C COGGIN LCPC
Organization subpart
No
Provider details
NPI number
Authorized official
PHETSAVANH C COGGIN LCPC (OWNER)
(224) 699-0196
Entity
Organization
Contact information
Practice address
47 KATRINA LN, SLEEPY HOLLOW, IL 60118-3123
(224) 699-0196
Mailing address
47 KATRINA LN, SLEEPY HOLLOW, IL 60118-3123
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/04/2022
Last updated
07/06/2022
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