IndividualActive
Mary Clarke, MA, LCPC, CADC
NPI 1114077567 · Mental Health Counselor · St Charles, IL
Provider details
- NPI number
- 1114077567
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LCPC, CADC
- Sex
- Female
- Sole proprietor
- No
- License
- 180-005377 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1120 E Main St Ste 201
St Charles, IL 60174-2287
Phone: (630) 377-6613
Fax: (630) 377-6225
Approximate (ZIP-level) locationGet directions
Mailing address
1120 E Main St Ste 201
St Charles, IL 60174-2287
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.