Individual
STEPHANIE MAGEN VALENTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3004 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8120
Mailing address
7638 MERLOT CT, GURNEE, IL 60031-5620
(847) 401-0485
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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