Provider Demographics
NPI:1053803338
Name:WELSH, CHERYL LYNN (MA, LCPC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:WELSH
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5416 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERN SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60558-2057
Mailing Address - Country:US
Mailing Address - Phone:312-286-7333
Mailing Address - Fax:
Practice Address - Street 1:201 E OGDEN AVE STE 106
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3686
Practice Address - Country:US
Practice Address - Phone:855-543-7687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-03
Last Update Date:2018-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007567101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional