Individual
LISA KAY STEVENS-BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
137 E COLLEGE ST, KEWANEE, IL 61443-3703
(309) 852-4331
(309) 854-0122
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
(309) 344-4368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30044
IL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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