Kolthoff, Chanel

Kolthoff, Chanel is an individual health care provider with primary practice located at 1008 Declaration Dr , Savoy IL 61874-7104. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kolthoff, Chanel can be contacted via phone (580) 695-0526.

Contact Information

Primary practice address
1008 Declaration Dr Savoy IL 61874-7104
Phone: (580) 695-0526
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149027046 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904014795 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 114763 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 61169653 Washington

Profile Details

NPI number 1508425547
LBN Legal business name Kolthoff, Chanel
Credentials LICSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2019
Last updated Dec 31st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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