Individual provider · Type 1 NPI

Mary Clare Cummins, LCPC

Professional Counselor · Decatur, IL

NPI number 1962595892 Active

Practice location

1770 E Lake Shore Dr, Suite 209
Decatur, IL 62521-3832

Fax (217) 423-6536

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1962595892

Mary Clare Cummins, LCPC's National Provider Identifier is 1962595892, issued on Oct 2, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, IL. The record was last updated on Jul 8, 2007.