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Contact Information

DAVID C BROCKMAN III, LPC, ATR
10421 S CHURCH ST
CHICAGO, IL60643-2940
 Phone: 708-568-1909
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for DAVID C BROCKMAN III · (Male)

NPI Number 1881568715
Status Active
Credentials LPC, ATR
Entity Individual
Enumeration date 10/02/2025
Last updated 10/02/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • License # 24-718
  • IL License # 178.021187
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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