Provider Demographics
NPI:1578679874
Name:SWENNY, CHERYL SUE (LCPC)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:SUE
Last Name:SWENNY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MISS
Other - First Name:CHERYL
Other - Middle Name:SUE
Other - Last Name:VILCOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 18
Mailing Address - Street 2:201 SOUTH WALNUT
Mailing Address - City:ROCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:62563
Mailing Address - Country:US
Mailing Address - Phone:217-498-7600
Mailing Address - Fax:217-498-8093
Practice Address - Street 1:201 SOUTH WALNUT
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:IL
Practice Address - Zip Code:62563
Practice Address - Country:US
Practice Address - Phone:217-498-7600
Practice Address - Fax:217-498-8093
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional