Individual provider · Type 1 NPI

Stacey Wyant, LCSW

Mental Health Counselor · Galesburg, IL

NPI number 1376917161 Active

Practice location

311 E Main St, Suite 420
Galesburg, IL 61401-4855

Call (563) 265-5202 Map

Mailing address

311 E Main St Ste 205
Galesburg, IL 61401-4878

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X149.011158 (IL)

Mental Health Counselor: Definition to come...

9 other providers at this address

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About NPI 1376917161

Stacey Wyant, LCSW's National Provider Identifier is 1376917161, issued on Nov 17, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Galesburg, IL. The record was last updated on Apr 5, 2019.