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Denise Marie Stacy, CADC
Addiction (Substance Use Disorder) Counselor in Chicago, Illinois
NPI 1154893238

Denise Marie Stacy is an Addiction (Substance Use Disorder) Counselor based in Chicago, IL and is specialized in Addiction (Substance Use Disorder). Denise Marie Stacy practices in Chicago, IL and has the professional credentials of CADC. The NPI Number for Denise Marie Stacy is 1154893238 and holds a License No. 30989 (Illinois).

The current practice location address for Denise Marie Stacy is 140 N Ashland Ave, Chicago, IL and can be reached out via phone at 312-850-0050 and via fax at 312-850-9095.

Location: 140 N Ashland Ave, Chicago, IL, 60636-2614
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Provider Profile Details
NPI Number
1154893238
Provider Name
Denise Marie Stacy
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
140 N Ashland Ave, Chicago, IL, 60636-2614
Phone Number
312-850-0050
Fax Number
312-850-9095
Provider Enumeration Date
12/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1568509719 05 IL
institution
Provider Business Practice Location Address Details
Address
140 N Ashland Ave
City
State
Zip
60607-1802
Phone Number
312-850-0050
Fax Number
312-850-9095
person
Provider Business Mailing Address Details
Address
140 N Ashland Ave
City
State
Zip
60607-1802
Phone Number
312-850-0050
Fax Number
312-850-9095
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
30989 (Illinois)
Definition
Definition to come...
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