Individual
BRIDGET STUKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1430 W RASCHER AVE APT 2E, CHICAGO, IL 60640-0629
(605) 830-1208
Mailing address
1430 W RASCHER AVE APT 2E, CHICAGO, IL 60640-0629
(605) 830-1208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149024835
IL
Other
Enumeration date
08/26/2018
Last updated
01/11/2024
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