Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wallace Sprugeon Colvin IV, MA

Individual provider Professional Counselor · NPI 1699490284

Wallace Sprugeon Colvin IV, MA is a Professional Counselor in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2755 N Pine Grove Ave
Chicago, IL 60614-6109
Phone: (312) 259-2665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1699490284
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedOctober 6, 2022
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

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