Individual provider · Type 1 NPI

Mitchell Clark

Professional Counselor · Rockford, IL

NPI number 1841147865 Active

Practice location

2704 N Main St
Rockford, IL 61103-3112

Call (815) 391-1000 Map

Mailing address

3324 N Jackson Rd
Pecatonica, IL 61063-9224

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.022813 (IL)

Professional Counselor: Definition to come...

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About NPI 1841147865

Mitchell Clark's National Provider Identifier is 1841147865, issued on Mar 11, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Mar 11, 2026.