Individual
JALEN DAVID CLEMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
925 W DAKIN ST APT 407, CHICAGO, IL 60613-5072
(270) 590-4509
Mailing address
925 W DAKIN ST APT 407, CHICAGO, IL 60613-5072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.031865
IL
106S00000X
Behavior Technician
Primary
RBT-20-136769
KY
Other
Enumeration date
09/28/2020
Last updated
06/24/2026
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