Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Carolyn Suzette Champion, EDDCADCTHD

Individual provider Mental Health Counselor · NPI 1467089573

Dr. Carolyn Suzette Champion, EDDCADCTHD is a Mental Health Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

2215 W 95th St
Chicago, IL 60643-1001
Phone: (773) 819-0646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 20997 (IL)

Record details

NPI number1467089573
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDDCADCTHD
Sole proprietorYes
NPI enumeratedMarch 26, 2020
Last updated in NPPESMarch 26, 2020
Certification dateMarch 26, 2020

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