Individual provider · Type 1 NPI

Keisha Davell Cole, CREDENTIALING MANAGE

Mental Health Counselor · Chicago, IL

NPI number 1154942449 Active

Practice location

2259 W Taylor St
Chicago, IL 60612-4233

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1154942449

Keisha Davell Cole, CREDENTIALING MANAGE's National Provider Identifier is 1154942449, issued on Apr 28, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Aug 24, 2021.