Individual
MS. CAROL J CLAXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
810 SEDGEGRASS DR, CHAMPAIGN, IL 61822-2024
(217) 369-7232
Mailing address
1801 WOODFIELD DR, SAVOY, IL 61874-9505
(217) 369-7232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149008982
IL
1041C0700X
Clinical Social Worker
149008982
IL
Other
Enumeration date
02/23/2012
Last updated
09/24/2019
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