Organization
CK PSYCH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDE L KING LCPC (OWNER/PSYCHOTHERAPIST)
(630) 251-4346
Entity
Organization
Contact information
Practice address
10725 S WESTERN AVE, CHICAGO, IL 60643-3217
(630) 251-4346
Mailing address
1389 LILY CACHE LN, BOLINGBROOK, IL 60490-4502
(630) 251-4346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/12/2021
Last updated
07/15/2021
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