Individual
SAMANTHA STADLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
872 S MILWAUKEE AVE, #273, LIBERTYVILLE, IL 60048-3227
(847) 615-8696
(847) 615-8656
Mailing address
1424 W THOME AVE, GDN, CHICAGO, IL 60660-1814
(847) 456-7925
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178011793
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891028247
EQUESTRIAN CONNECTION
IL
Enumeration date
06/05/2016
Last updated
06/05/2016
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