person
Wallace Sprugeon Colvin IV, MA
Professional Counselor in Chicago, Illinois
NPI 1699490284

Wallace Sprugeon Colvin IV is a Professional Counselor based in Chicago, IL and is specialized in Professional. Wallace Sprugeon Colvin IV practices in Chicago, IL and has the professional credentials of MA. The NPI Number for Wallace Sprugeon Colvin IV is 1699490284 and holds a License No. (Illinois).

The current practice location address for Wallace Sprugeon Colvin IV is 2755 N Pine Grove Ave, Chicago, IL and can be reached out via phone at 312-259-2665.

Location: 2755 N Pine Grove Ave, Chicago, IL, 60616-4239
person
Provider Profile Details
NPI Number
1699490284
Provider Name
Wallace Sprugeon Colvin IV
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
2755 N Pine Grove Ave, Chicago, IL, 60616-4239
Phone Number
312-259-2665
Fax Number
Provider Enumeration Date
10/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2755 N Pine Grove Ave
City
State
Zip
60614-6109
Phone Number
312-259-2665
Fax Number
person
Provider Business Mailing Address Details
Address
2755 N Pine Grove Ave
City
State
Zip
60614-6109
Phone Number
312-259-2665
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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