Ccl Therapeutic Services, Inc.

NPI #1619182557 in Yorkville, Illinois

Provider Information

NPI Number: 1619182557
Entity Type: Organization
Organization Name: Ccl Therapeutic Services, Inc.
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 14, 2007
Last Updated: Oct 4, 2012

Practice Location

Address: 9620 US ROUTE 34
Address 2: SUITE E
City: Yorkville
State: Illinois
ZIP Code: 60560-1394
Phone: (630) 688-0289

Authorized Official

Name: MS. COLLEEN CLARK LAY, LCSW
Title: PRESIDENT
Phone: (630) 688-0289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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