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Stacy Malm, LCPC
Counselor in Chicago, Illinois
NPI 1104878008

Stacy Malm is a Counselor based in Chicago, IL. Stacy Malm practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for Stacy Malm is 1104878008 and holds a License No. (Illinois).

The current practice location address for Stacy Malm is 3401 N Central Ave, Chicago, IL and can be reached out via phone at 773-286-8822 and via fax at 773-824-4997. You can also correspond with Stacy Malm through the mailing address at 3401 N CENTRAL AVE, CHICAGO, IL - 60634-4426 (mailing address contact number: 773-286-8822).

Location: 3401 N Central Ave, Chicago, IL, 60634-4426
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Provider Profile Details
NPI Number
1104878008
Provider Name
Stacy Malm
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
3401 N Central Ave, Chicago, IL, 60634-4426
Phone Number
773-286-8822
Fax Number
773-824-4997
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01635515 01 IL BC#
institution
Provider Business Practice Location Address Details
Address
3401 N Central Ave
City
State
Zip
60634-4426
Phone Number
773-286-8822
Fax Number
773-824-4997
person
Provider Business Mailing Address Details
Address
3401 N Central Ave
City
State
Zip
60634-4426
Phone Number
773-286-8822
Fax Number
773-824-4997
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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