Organization
COLLABORATIVE SOLUTIONS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL L GAINES LCPC (CEOPRESIDENT)
(309) 828-2860
Entity
Organization
Contact information
Practice address
200 W FRONT ST, SUITE 400A, BLOOMINGTON, IL 61701-5048
(309) 828-2860
(309) 827-2637
Mailing address
200 W FRONT ST, SUITE 400A, BLOOMINGTON, IL 61701-5048
(309) 828-2860
(309) 827-2637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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