Provider Demographics
NPI:1225214497
Name:FROST, CHERYL A (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:A
Last Name:FROST
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15850 NEW AVE
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-3680
Mailing Address - Country:US
Mailing Address - Phone:630-624-5574
Mailing Address - Fax:
Practice Address - Street 1:15850 NEW AVENUE
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-3680
Practice Address - Country:US
Practice Address - Phone:630-624-5574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional