Organization
REDEFINING RELATIONSHIPS, ACCEPTANCE, EMPOWERMENT, & LOVE, LLC
Active
Other names
RRAEL Counseling, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS CLARKE PHD (LICENSED PSYCHOLOGIST)
(773) 599-3141
Entity
Organization
Contact information
Practice address
2501 CHATHAM RD STE R, SPRINGFIELD, IL 62704-4188
(773) 599-3141
Mailing address
2501 CHATHAM RD STE R, SPRINGFIELD, IL 62704-4188
(773) 599-3141
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071008691
IL
Other
Enumeration date
02/19/2018
Last updated
10/10/2021
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