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Organization
STACY
Active
Organization
STACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY L PERKINS MA, LCPC (PRESIDENT)
(815) 325-1857
Entity
Organization
Contact information
Practice address
445 W JACKSON AVE, SUITE 206, NAPERVILLE, IL 60540-5256
(630) 420-2596
(630) 420-2796
Mailing address
445 W JACKSON AVE, SUITE 206, NAPERVILLE, IL 60540-5256
(630) 420-2596
(630) 420-2796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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