Individual
ELIZABETH STACHULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5703 N NEWARK AVE, CHICAGO, IL 60631-3140
(757) 647-0477
Mailing address
5703 N NEWARK AVE, CHICAGO, IL 60631-3140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180.010907
IL
Other
Enumeration date
06/19/2015
Last updated
03/29/2020
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