Individual
CARRIE RUTH COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LCPC
Contact information
Practice address
1512 ARTAIUS PKWY STE 200, LIBERTYVILLE, IL 60048-5231
(847) 444-9244
(847) 461-1006
Mailing address
26736 N CIRCLE DR, MUNDELEIN, IL 60060-3466
(708) 845-8065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.016552
IL
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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