| Cheryl Davidson Lcpc Pllc | |
|
311 N 2nd St St Charles IL 60174-1850 | |
| (847) 450-8139 | |
| (630) 358-6935 |
| Full Name | Cheryl Davidson Lcpc Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 311 N 2nd St, St Charles, Illinois |
| Authorized Official Name and Position | Cheryl Davidson (OWNER / THERAPIST OPERATOR) |
| Authorized Official Contact | 8474508139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Davidson Lcpc Pllc 311 N 2nd St St Charles IL 60174-1850 Ph: (847) 450-8139 | Cheryl Davidson Lcpc Pllc 311 N 2nd St St Charles IL 60174-1850 Ph: (847) 450-8139 |
| NPI Number | 1023847985 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023847985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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