Doretha L. Clark
Counselor · Aurora, IL
NPI number
1336755511
Practice location
1230 N Highland AveAurora, IL 60506-1401
- Phone
- (630) 966-4301
- Fax
- (630) 859-2994
NPI record
- NPI
- 1336755511
- Entity type
- Individual (Type 1)
- Enumeration date
- September 22, 2020
- Last updated
- September 22, 2020
- Certified
- September 22, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
— | — |
About Doretha Clark
Doretha L. Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1230 N Highland Ave, Aurora, IL 60506-1401. The NPI number 1336755511 was assigned on September 22, 2020 and the record was last updated on September 22, 2020.
Frequently asked questions
What is the NPI number of Doretha L. Clark?
The NPI number is 1336755511.
What is the phone number of Doretha Clark?
The phone number listed for the practice location is (630) 966-4301.
Where is Doretha Clark located?
1230 N Highland Ave, Aurora, IL 60506-1401.
What is the taxonomy code for Doretha Clark?
The primary taxonomy code is 101Y00000X – Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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