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Clifton Blake Spires
Counselor in Marion, Illinois
NPI 1053639443

Clifton Blake Spires is a Counselor based in West Frankfort, IL. Clifton Blake Spires practices in Marion, IL. The NPI Number for Clifton Blake Spires is 1053639443 and holds a License No. 66039 (Illinois).

The current practice location address for Clifton Blake Spires is 1307 W Main St, Marion, IL and can be reached out via phone at 618-997-5336 and via fax at 618-993-2969.

Location: 1307 W Main St, Marion, IL, 62896-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053639443
Provider Name
Clifton Blake Spires
Credential
Provider Entity Type
Individual
Gender
Male
Address
1307 W Main St, Marion, IL, 62896-2210
Phone Number
618-997-5336
Fax Number
618-993-2969
Provider Enumeration Date
05/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1307 W Main St
City
Marion
State
Illinois
Zip
62959-1139
Phone Number
618-997-5336
Fax Number
618-993-2969
person
Provider Business Mailing Address Details
Address
1307 W Main St
City
Marion
State
Illinois
Zip
62959-1139
Phone Number
618-997-5336
Fax Number
618-993-2969
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
66039 (California)
Definition
Definition to come...
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