Individual
MS. STACEY LYNN YONKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CADCIII
Contact information
Practice address
1500 W MARKET ST, SUITE 200, MEQUON, WI 53092-5098
(262) 241-6127
Mailing address
1500 W MARKET ST, SUITE 200, MEQUON, WI 53092-5098
(262) 241-6127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2101
WI
101YM0800X
Mental Health Counselor
6578-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39712900
—
WI
Enumeration date
01/19/2007
Last updated
09/11/2025
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