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Mollie Ryan Stock, LCPC,BC-DMT
Professional Counselor in Chicago, Illinois
NPI 1316219892

Mollie Ryan Stock is a Professional Counselor based in Chicago, IL and is specialized in Professional. Mollie Ryan Stock practices in Chicago, IL and has the professional credentials of LCPC,BC-DMT. The NPI Number for Mollie Ryan Stock is 1316219892 and holds a License No. 180.004000 (Illinois).

The current practice location address for Mollie Ryan Stock is 5901 N Cicero Ave Ste 606, Chicago, IL and can be reached out via phone at 773-726-7290.

Location: 5901 N Cicero Ave Ste 606, Chicago, IL, 60646-6520
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Provider Profile Details
NPI Number
1316219892
Provider Name
Mollie Ryan Stock
Credential
LCPC,BC-DMT
Provider Entity Type
Individual
Gender
Female
Address
5901 N Cicero Ave Ste 606, Chicago, IL, 60646-6520
Phone Number
773-726-7290
Fax Number
Provider Enumeration Date
01/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316219892 05 IL
institution
Provider Business Practice Location Address Details
Address
5901 N Cicero Ave Ste 606
City
State
Zip
60646-5721
Phone Number
773-726-7290
Fax Number
person
Provider Business Mailing Address Details
Address
5901 N Cicero Ave Ste 606
City
State
Zip
60646-5721
Phone Number
773-726-7290
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.004000 (Illinois)
Definition
Definition to come...
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