Individual
MS. STEPHANIE NICOLE TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, BC-DMT
Contact information
Practice address
1300 W BELMONT AVE STE 301, CHICAGO, IL 60657-3241
(773) 880-1310
Mailing address
1300 W BELMONT AVE STE 301, CHICAGO, IL 60657-3241
(773) 880-1310
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.012542
IL
Other
Enumeration date
01/08/2020
Last updated
11/27/2023
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