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Organization
TIMOTHY L. CLARL, LCSW, P.C.
Active
Organization
TIMOTHY L. CLARL, LCSW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LEW CLARK LCSW, LCPC, CSADC, S (PRESIDENT)
(847) 827-9274
Entity
Organization
Contact information
Practice address
880 LEE ST, SUITE 208, DES PLAINES, IL 60016-6420
(847) 298-8830
Mailing address
880 LEE ST, SUITE 208, DES PLAINES, IL 60016-6420
(847) 298-8830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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