Provider Demographics
NPI:1013723469
Name:WALKER, CLARA M (MS, LPC)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:M
Last Name:WALKER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 W LUNT AVE # APR3A
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-2728
Mailing Address - Country:US
Mailing Address - Phone:510-846-4230
Mailing Address - Fax:
Practice Address - Street 1:333 SKOKIE BLVD STE 108
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1623
Practice Address - Country:US
Practice Address - Phone:847-450-6393
Practice Address - Fax:847-919-8375
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178-020307101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health