Individual
MR. MARK M. STAHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV.
Contact information
Practice address
542 CROSAT ST, LA SALLE, IL 61301-2226
(815) 223-4007
(815) 224-4550
Mailing address
19183 PLOW CREEK RD UNIT 6, TISKILWA, IL 61368-9126
(815) 646-4851
(815) 223-4550
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
IL
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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