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Individual

COLLEEN NOLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CADC

Contact information

Practice address
801 GLOUCESTER DR, ELK GROVE VILLAGE, IL 60007-3319
(847) 981-5900
Mailing address
911 E PATTEN DR, PALATINE, IL 60074-7133
(847) 404-4564

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178012140
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
35207
IL

Other

Enumeration date
09/19/2018
Last updated
10/02/2018
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