Individual provider · Type 1 NPI
Stacy Malm, LCPC
Counselor · Chicago, IL
NPI number
1104878008
Active
Practice location
3401 N Central Ave
Chicago, IL 60634-4426
Fax (773) 824-4997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1104878008
Stacy Malm, LCPC's National Provider Identifier is 1104878008, issued on May 17, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chicago, IL. The record was last updated on Nov 29, 2007.