Clifton Blake Spires
Clifton Blake Spires is a Mental Health Counselor in Marion, Illinois. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
1307 W Main StMarion, IL 62959-1139
Phone: (618) 997-5336
Fax: (618) 993-2969
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 66039 (CA) |
Record details
| NPI number | 1053639443 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 10, 2010 |
| Last updated in NPPES | January 8, 2022 |
| Certification date | January 8, 2022 |
| Mailing address | 902 W Main St, West Frankfort, IL 62896-2210 |
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