DORETHA L CLARK NPI 1336755511

NPI Information

Doretha L Clark is a counselor in Aurora, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Doretha L Clark NPI is 1336755511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1230 N HIGHLAND AVE
AURORA, IL
ZIP 60506-401
Phone: (630) 966-4301
Fax: (630) 859-2994

The enumeration date for this NPI number is 9/22/2020 and was last updated on 9/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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