person
Stacey Wyant, LCSW
Mental Health Counselor in Galesburg, Illinois
NPI 1376917161

Stacey Wyant is a Mental Health Counselor based in Galesburg, IL and is specialized in Mental Health. Stacey Wyant practices in Galesburg, IL and has the professional credentials of LCSW. The NPI Number for Stacey Wyant is 1376917161 and holds a License No. 149.011158 (Illinois).

The current practice location address for Stacey Wyant is 311 E Main St, Galesburg, IL and can be reached out via phone at 563-265-5202.

Location: 311 E Main St, Galesburg, IL, 61401-4878
person
Provider Profile Details
NPI Number
1376917161
Provider Name
Stacey Wyant
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
311 E Main St, Galesburg, IL, 61401-4878
Phone Number
563-265-5202
Fax Number
Provider Enumeration Date
11/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
311 E Main St
City
State
Zip
61401-4855
Phone Number
563-265-5202
Fax Number
person
Provider Business Mailing Address Details
Address
311 E Main St
City
State
Zip
61401-4855
Phone Number
563-265-5202
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
149.011158 (Illinois)
Definition
Definition to come...
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