Individual
CLARE OKUBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2024 CLEVELAND ST, EVANSTON, IL 60202-1912
(773) 474-9612
Mailing address
2024 CLEVELAND ST, EVANSTON, IL 60202-1912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178.010157
IL
101YM0800X
Mental Health Counselor
178.010157
IL
101YP2500X
Professional Counselor
178.010157
IL
101YP2500X
Professional Counselor
Primary
180.010914
IL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
09/05/2014
Last updated
11/29/2021
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