Individual
CHERYL A. WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
201 PARK PL, SUITE #24, BOURBONNAIS, IL 60914-1885
(815) 932-3395
(815) 933-0154
Mailing address
201 PARK PL, SUITE #24, BOURBONNAIS, IL 60914-1885
(815) 932-3395
(815) 933-0154
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04632009
BC/BS PROVIDER NUMBER
IL
01
—
2088369
CIGNA PROVIDER NUMBER
IL
01
—
234124
COMPSYCH
IL
01
—
531590
VALUE OPTIONS
IL
01
—
7761273
AETNA PROVIDER NUMBER
IL
Enumeration date
10/13/2005
Last updated
07/08/2007
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