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Individual

CLAUDE LUCAS KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC, AMFT

Contact information

Practice address
6235 S MAJOR AVE APT 1, CHICAGO, IL 60638
(630) 251-4346
Mailing address
6235 S MAJOR AVE APT 1, CHICAGO, IL 60638-4522
(630) 251-4346

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
178.010851
IL
101YP2500X
Professional Counselor
Primary
180.011219
IL
106H00000X
Marriage & Family Therapist
208.000379
IL

Other

Enumeration date
03/27/2015
Last updated
05/14/2018
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