Individual
JACQUELINE THERESE STAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
137 N OAK PARK AVE STE 218, OAK PARK, IL 60301-1340
(708) 317-8873
Mailing address
414 EDGEWOOD PL, RIVER FOREST, IL 60305-1651
(708) 715-2018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178015746
IL
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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