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Stacey Dinkelman
Mental Health Counselor in Centralia, Illinois
NPI 1417328741

Stacey Dinkelman is a Mental Health Counselor based in Okawville, IL and is specialized in Mental Health. Stacey Dinkelman practices in Centralia, IL. The NPI Number for Stacey Dinkelman is 1417328741 and holds a License No. (Illinois).

The current practice location address for Stacey Dinkelman is 904 E Martin Luther King Dr., Centralia, IL and can be reached out via phone at 618-533-1391.

Location: 904 E Martin Luther King Dr., Centralia, IL, 62271-1529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417328741
Provider Name
Stacey Dinkelman
Credential
Provider Entity Type
Individual
Gender
Female
Address
904 E Martin Luther King Dr., Centralia, IL, 62271-1529
Phone Number
618-533-1391
Fax Number
Provider Enumeration Date
10/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
904 E Martin Luther King Dr.
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1391
Fax Number
person
Provider Business Mailing Address Details
Address
904 E Martin Luther King Dr.
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1391
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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