Collin Clark
Collin Clark is a Professional Counselor in Evanston, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
800 Austin StEvanston, IL 60202-3439
Phone: (847) 868-8664
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1750198594 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 16, 2024 |
| Last updated in NPPES | December 16, 2024 |
| Certification date | December 16, 2024 |
| Mailing address | 800 Austin St # 312, Evanston, IL 60202-3439 |
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