Individual provider · Type 1 NPI

Nicole Clark, MA, LCPC, NCC

Professional Counselor · Bloomingdale, IL

NPI number 1891344271 Active

Practice location

255 E Lake St Ste 200
Bloomingdale, IL 60108-1287

Call (815) 295-5470 Map

Mailing address

5564 W Ardmore Ave
Chicago, IL 60646-6506

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180013967 (IL)

Professional Counselor: Definition to come...

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About NPI 1891344271

Nicole Clark, MA, LCPC, NCC's National Provider Identifier is 1891344271, issued on Sep 9, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bloomingdale, IL. The record was last updated on Apr 29, 2026.