Individual
SCOTT CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
636 CHURCH ST STE 420, EVANSTON, IL 60201-4580
(312) 869-4897
Mailing address
636 CHURCH ST STE 420, EVANSTON, IL 60201-4580
(312) 869-4897
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180008996
IL
Other
Enumeration date
01/27/2010
Last updated
09/11/2020
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