person
Staci Poe
Professional Counselor in Champaign, Illinois
NPI 1003234972

Staci Poe is a Professional Counselor based in Champaign, IL and is specialized in Professional. Staci Poe practices in Champaign, IL. The NPI Number for Staci Poe is 1003234972 and holds a License No. 178.009748 (Illinois).

The current practice location address for Staci Poe is 44 E Main St, Champaign, IL and can be reached out via phone at 217-398-9066 and via fax at 217-398-9077.

Location: 44 E Main St, Champaign, IL, 61820-3636
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Provider Profile Details
NPI Number
1003234972
Provider Name
Staci Poe
Credential
Provider Entity Type
Individual
Gender
Female
Address
44 E Main St, Champaign, IL, 61820-3636
Phone Number
217-398-9066
Fax Number
217-398-9077
Provider Enumeration Date
03/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
178.009748 01 IL IDFPR
institution
Provider Business Practice Location Address Details
Address
44 E Main St
City
State
Zip
61820-3636
Phone Number
217-398-9066
Fax Number
217-398-9077
person
Provider Business Mailing Address Details
Address
44 E Main St
City
State
Zip
61820-3636
Phone Number
217-398-9066
Fax Number
217-398-9077
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.009748 (Illinois)
Definition
Definition to come...
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