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Organization

EDEN DEVELOPMENT NETWORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REGINA B MCCLURE LCPC (PRESIDENT/EXECUTIVE DIRECTOR)
(708) 918-3351
Entity
Organization

Contact information

Practice address
507 WOOD ST, CHICAGO HEIGHTS, IL 60411-1625
(708) 918-3351
Mailing address
REGINA MCCLURE, 20650 S. CICERO AVENUE, #613, MATTESON, IL 60443
(708) 918-3351

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
IL
101YP2500X
Professional Counselor
Primary
180006064
IL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
IL

Other

Enumeration date
05/04/2018
Last updated
06/23/2025
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