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Organization
YOUR STORY COUNSELING, P.C.
Active
Organization
YOUR STORY COUNSELING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK Q BECKLEY LCSW (PRESIDENT)
(630) 442-1895
Entity
Organization
Contact information
Practice address
4745 MAIN ST, SUITE 207, LISLE, IL 60532-1754
(630) 442-1895
(630) 442-1896
Mailing address
4745 MAIN STREET, SUITE 207, LISLE, ILLINOIS 60532
(630) 442-1895
(630) 442-1895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016945
IL
Other
Enumeration date
09/19/2014
Last updated
09/30/2016
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