IndividualActive
Gina Coleman, LCPC, CRC, CADC
NPI 1467197129 · Rehabilitation Counselor · Glenwood, IL
Provider details
- NPI number
- 1467197129
- Entity type
- Individual
- Primary specialty
- Rehabilitation CounselorRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LCPC, CRC, CADC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 180014627 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
510 N Virginia Ave
Glenwood, IL 60425-1021
Phone: (708) 212-0056
Approximate (ZIP-level) locationGet directions
Mailing address
510 N Virginia Ave
Glenwood, IL 60425-1021
Registry dates
- Enumerated
- 2022-04-27
- Last updated
- 2023-02-23
- Certified
- 2023-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.