Elli Banes Clark, LPC
NPI #1558160846 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1558160846
- Entity Type
- Individual
- Name
- Elli Banes Clark, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Mar 10, 2025
- Last Updated
- Mar 10, 2025
Practice Location
- Address
- 800 ROOSEVELT RD STE E220
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-5868
- Phone
- (815) 980-1153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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