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Stacey Lynn Rodriguez
Mental Health Counselor in Dekalb, Illinois
NPI 1649636200

Stacey Lynn Rodriguez is a Mental Health Counselor based in Sycamore, IL and is specialized in Mental Health. Stacey Lynn Rodriguez practices in Dekalb, IL. The NPI Number for Stacey Lynn Rodriguez is 1649636200 and holds a License No. (Illinois).

The current practice location address for Stacey Lynn Rodriguez is 631 S 1St St, Dekalb, IL and can be reached out via phone at 815-756-8501.

Location: 631 S 1St St, Dekalb, IL, 60178-9002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649636200
Provider Name
Stacey Lynn Rodriguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
631 S 1St St, Dekalb, IL, 60178-9002
Phone Number
815-756-8501
Fax Number
Provider Enumeration Date
01/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
631 S 1St St
City
Dekalb
State
Illinois
Zip
60115-4117
Phone Number
815-756-8501
Fax Number
person
Provider Business Mailing Address Details
Address
631 S 1St St
City
Dekalb
State
Illinois
Zip
60115-4117
Phone Number
815-756-8501
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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