Stacey A Coleman, LCPC Valid NPI
Individual provider · Professional Counselor · Crystal Lake, IL
- NPI
- 1013161728
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 180006491 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-11-07
- Last updated
- 2008-11-07
Practice location
900 Pyott Rd Ste 102
Crystal Lake, IL 60014-8717
(815) 444-9076