Individual provider · Type 1 NPI

Collin Clark

Professional Counselor · Evanston, IL

NPI number 1750198594 Active

Practice location

800 Austin St
Evanston, IL 60202-3439

Mailing address

800 Austin St # 312
Evanston, IL 60202-3439

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1750198594

Collin Clark's National Provider Identifier is 1750198594, issued on Dec 16, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evanston, IL. The record was last updated on Dec 16, 2024.