Individual
EILEEN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
631 N. LONGWOOD, 203, RODKFORD, IL 61107-4263
(815) 962-6100
(815) 962-6107
Mailing address
631 N. LONGWOOD, 203, ROCKFORD, IL 61107-4263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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