Individual
CATHERINE CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5230 S 6TH STREET RD, SPRINGFIELD, IL 62703-5128
(217) 585-1180
(217) 585-4747
Mailing address
5230 S 6TH STREET RD, SPRINGFIELD, IL 62703-5128
(217) 585-1180
(217) 585-4747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149007862
IL
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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