Individual
MR. CLINT ZAVAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LCPC
Contact information
Practice address
307 N MICHIGAN AVE STE 1008, CHICAGO, IL 60601-5310
(773) 234-3121
Mailing address
307 N MICHIGAN AVE STE 1008, CHICAGO, IL 60601-5310
(773) 234-3121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180010641
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180010641
LCPC LICENSE
IL
Enumeration date
11/28/2016
Last updated
06/05/2019
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