NPI 1033586284

Shale Marks, CADC

Practitioner Social Worker Highland Park, IL

Practice location

Address: 210 Skokie Valley Rd STE a, Highland Park, IL 60035-4464
Phone: (847) 908-1503

Registered specialties (2)

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 150.102210 (IL)

Other Social Worker providers in Illinois →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 31537 (IL)

Other Counselor providers in Illinois →

Registry record

NPI: 1033586284
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2015
Record last updated: 22 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.