Individual provider · Type 1 NPI

Stacy Skirvin

Counselor · Rockford, IL

NPI number 1538635487 Active

Practice location

2014 Auburn St
Rockford, IL 61103-4479

Call (815) 387-5600 Map

Fax (815) 316-4726

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3877

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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 1538635487

Stacy Skirvin's National Provider Identifier is 1538635487, issued on Oct 18, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Rockford, IL. The record was last updated on Oct 18, 2018.