Individual
CHERYL BASSETT UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
555 PRICE AVE, CALUMET CITY, IL 60409-3531
(708) 862-7255
Mailing address
555 PRICE AVE, CALUMET CITY, IL 60409-3531
(708) 862-7255
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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