Individual
MRS. COLLEEN SUSAN SEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
300 W GRAND AVE, 209, CHICAGO, IL 60610-4171
(312) 593-7585
Mailing address
300 W GRAND AVE, #209, CHICAGO, IL 60610-4171
(312) 593-7585
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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