Individual provider · Type 1 NPI

Denise Marie Stacy, CADC

Addiction (Substance Use Disorder) Counselor · Chicago, IL

NPI number 1154893238 Active

Practice location

140 N Ashland Ave
Chicago, IL 60607-1802

Call (312) 850-0050 Map

Fax (312) 850-9095

Mailing address

6334 S Winchester Ave Fl 2
Chicago, IL 60636-2614

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X30989 (IL)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154893238

Denise Marie Stacy, CADC's National Provider Identifier is 1154893238, issued on Dec 29, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Dec 29, 2018.