Individual
DEANNA L STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC, NCC
Contact information
Practice address
15941 HARLEM AVE # 140, TINLEY PARK, IL 60477-1609
(779) 435-4271
Mailing address
15941 HARLEM AVE # 140, TINLEY PARK, IL 60477-1609
(779) 435-4271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180009845
IL
Other
Enumeration date
01/22/2014
Last updated
07/27/2020
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