person
Kathleen L Cullop, LCPC
Professional Counselor in Champaign, Illinois
NPI 1063691137

Kathleen L Cullop is a Professional Counselor based in Champaign, IL and is specialized in Professional. Kathleen L Cullop practices in Champaign, IL and has the professional credentials of LCPC. The NPI Number for Kathleen L Cullop is 1063691137 and holds a License No. (Illinois).

The current practice location address for Kathleen L Cullop is 1207 S Mattis Ave, Champaign, IL and can be reached out via phone at 217-398-8067 and via fax at 217-398-8096.

Location: 1207 S Mattis Ave, Champaign, IL, 61821-4861
person
Provider Profile Details
NPI Number
1063691137
Provider Name
Kathleen L Cullop
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
1207 S Mattis Ave, Champaign, IL, 61821-4861
Phone Number
217-398-8067
Fax Number
217-398-8096
Provider Enumeration Date
10/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103-2051 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1207 S Mattis Ave
City
State
Zip
61821-4861
Phone Number
217-398-8067
Fax Number
217-398-8096
person
Provider Business Mailing Address Details
Address
1207 S Mattis Ave
City
State
Zip
61821-4861
Phone Number
217-398-8067
Fax Number
217-398-8096
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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