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Organization
STACEY J. BEISEL, LCPC, P.C.
Active
Organization
STACEY J. BEISEL, LCPC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY J BEISEL MS (LICENSED CLINICAL PROFESSIONAL COUN)
(618) 580-5708
Entity
Organization
Contact information
Practice address
60 S STATE ROUTE 157, SUITE 18, EDWARDSVILLE, IL 62025-3846
(618) 580-5708
Mailing address
60 S STATE ROUTE 157, SUITE 18, EDWARDSVILLE, IL 62025-3846
(618) 580-5708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.1004316
IL
Other
Enumeration date
02/23/2011
Last updated
01/08/2016
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