Individual
MRS. CHERYL COLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
302 S KITCHELL AVE, SUITE A, OLNEY, IL 62450-1500
(618) 392-8255
(618) 392-8255
Mailing address
302 S KITCHELL AVE, SUITE A, OLNEY, IL 62450-1500
(618) 392-8255
(618) 392-8255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180-005996
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180-005996
LCPC
IL
Enumeration date
10/15/2007
Last updated
03/20/2014
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