Individual provider · Type 1 NPI
Clinton Brock Maxwell, MA, LMHC
Mental Health Counselor · Skokie, IL
NPI number
1124273743
Active
Practice location
8248 Keystone Ave
Skokie, IL 60076-2717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180010827 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1124273743
Clinton Brock Maxwell, MA, LMHC's National Provider Identifier is 1124273743, issued on Nov 24, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Skokie, IL. The record was last updated on May 8, 2025.