Individual
MR. FREDRICK O STELLING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LCP
Contact information
Practice address
1201 SOUTH MAIN STREET, JACKSONVILLE, IL 62651-0400
(217) 479-2300
(217) 479-2305
Mailing address
1201 SOUTH MAIN STREET, P O BOX 400, JACKSONVILLE, IL 62651-0400
(217) 479-2300
(217) 479-2305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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