Individual provider · Type 1 NPI
Dennis Klacko, M.A., LCPC, NCC
Addiction (Substance Use Disorder) Counselor · Chicago, IL
NPI number
1295198141
Active
Practice location
10725 S Western Ave
Chicago, IL 60643-3135
Mailing address
40 E 9th St Apt 1901
Chicago, IL 60605-2152
Other practice locations
- 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 · (708) 647-3303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 178.011630 (IL) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 180012441 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295198141
Dennis Klacko, M.A., LCPC, NCC's National Provider Identifier is 1295198141, issued on Mar 29, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Oct 27, 2019.