Individual
CLINTON BROCK MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
8248 KEYSTONE AVE, SKOKIE, IL 60076-2717
(224) 254-3726
Mailing address
8248 KEYSTONE AVE, SKOKIE, IL 60076-2717
(224) 254-3726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180010827
IL
Other
Enumeration date
11/24/2008
Last updated
05/08/2025
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