Clarke, Mary Catherine (Kay)

Clarke, Mary Catherine (Kay) is an individual health care provider with primary practice located at 1120 E Main St Ste 201 , St Charles IL 60174-2287. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clarke, Mary Catherine (Kay) can be contacted via phone (630) 377-6613.

Contact Information

Primary practice address
1120 E Main St Ste 201 St Charles IL 60174-2287
Phone: (630) 377-6613
Fax: (630) 377-6225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180-005377 Illinois

Profile Details

NPI number 1114077567
LBN Legal business name Clarke, Mary Catherine (Kay)
Credentials MA, LCPC, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Apr 22nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114077567 NPPES
Illinois Other 0005632144 BLUE CROSS BLUE SHIELD #
Illinois Other 22634 BLUE CROSS BLUE SHIELD #

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