Individual
COLLEEN HARDEN AZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
101 GENTIAN, SAVOY, IL 61874-8544
(217) 369-0819
Mailing address
101 GENTIAN, SAVOY, IL 61874-8544
(217) 369-0819
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.010824
IL
Other
Enumeration date
04/19/2013
Last updated
11/17/2023
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