Individual provider · Type 1 NPI

Stacey Dinkelman

Mental Health Counselor · Centralia, IL

NPI number 1417328741 Active

Practice location

904 E Martin Luther King Dr.
Centralia, IL 62801

Call (618) 533-1391 Map

Mailing address

16271 Dog Alley Rd
Okawville, IL 62271-1529

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

Another provider at this address

Other mental health counselor providers in Centralia

See all in Centralia →

About NPI 1417328741

Stacey Dinkelman's National Provider Identifier is 1417328741, issued on Oct 13, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, IL. The record was last updated on Oct 13, 2015.