person
Ida J Samuel-clay, LCPC
Professional Counselor in Chicago, Illinois
NPI 1144785825

Ida J Samuel-clay is a Professional Counselor based in Chicago, IL and is specialized in Professional. Ida J Samuel-clay practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for Ida J Samuel-clay is 1144785825 and holds a License No. 180011416 (Illinois).

The current practice location address for Ida J Samuel-clay is 1136 S Delano Ct W Ste B201, Chicago, IL and can be reached out via phone at 312-528-3234.

Location: 1136 S Delano Ct W Ste B201, Chicago, IL, 60617-1852
person
Provider Profile Details
NPI Number
1144785825
Provider Name
Ida J Samuel-clay
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
1136 S Delano Ct W Ste B201, Chicago, IL, 60617-1852
Phone Number
312-528-3234
Fax Number
Provider Enumeration Date
02/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1136 S Delano Ct W Ste B201
City
State
Zip
60605-3734
Phone Number
312-528-3234
Fax Number
person
Provider Business Mailing Address Details
Address
1136 S Delano Ct W Ste B201
City
State
Zip
60605-3734
Phone Number
312-528-3234
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180011416 (Illinois)
Definition
Definition to come...
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