Individual
CHERYL LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
1813 W KIRBY AVE, CHAMPAIGN, IL 61821-5410
(217) 383-1850
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180002065
IL
Other
Enumeration date
05/23/2007
Last updated
05/07/2014
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