Provider Demographics
NPI:1912199589
Name:MAQUET, CLAIRE ABBOTT (LCPC)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:ABBOTT
Last Name:MAQUET
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 N VILLA LAKE DR
Mailing Address - Street 2:STE D
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614
Mailing Address - Country:US
Mailing Address - Phone:309-589-1011
Mailing Address - Fax:309-589-1019
Practice Address - Street 1:7210 N VILLA LAKE DR
Practice Address - Street 2:STE D
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614
Practice Address - Country:US
Practice Address - Phone:309-589-1011
Practice Address - Fax:309-589-1019
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor