Individual
CAROL CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1142 HINMAN AVE, EVANSTON, IL 60202-1311
(847) 492-0104
Mailing address
1142 HINMAN AVE, EVANSTON, IL 60202-1311
(847) 492-0104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1800001724
IL
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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