Individual
DAVID CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
7 BLANCHARD CIR, SUITE 201, WHEATON, IL 60189-2039
(630) 653-2300
(630) 653-2895
Mailing address
7 BLANCHARD CIR, SUITE 201, WHEATON, IL 60189-2039
(630) 653-2300
(630) 653-2895
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180006402
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215643
BLUE CROSS
IL
Enumeration date
12/22/2006
Last updated
07/08/2008
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