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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None 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.