Mitchell Clark
Mitchell Clark is a Professional Counselor in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2026
Practice location Address checks out
2704 N Main StRockford, IL 61103-3112
Phone: (815) 391-1000
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 178.022813 (IL) |
|---|
Record details
| NPI number | 1841147865 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 11, 2026 |
| Last updated in NPPES | March 11, 2026 |
| Certification date | March 11, 2026 |
| Mailing address | 3324 N Jackson Rd, Pecatonica, IL 61063-9224 |
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