Clinton, David

Clinton, David is an individual health care provider with primary practice located at 7 Blanchard Cir Suite 201, Wheaton IL 60189-2039. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Clinton, David can be contacted via phone (630) 653-2300.

Contact Information

Primary practice address
7 Blanchard Cir Suite 201 Wheaton IL 60189-2039
Phone: (630) 653-2300
Fax: (630) 653-2895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180006402 Illinois

Profile Details

NPI number 1548325384
LBN Legal business name Clinton, David
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2008 - about 18 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 1548325384 NPPES
Illinois Other 02215643 BLUE CROSS

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