Individual provider · Type 1 NPI

Stacey J. Patla

Mental Health Counselor · Rochelle, IL

NPI number 1629576707 Active

Practice location

555 Fairview Dr
Rochelle, IL 61068-2310

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629576707

Stacey J. Patla's National Provider Identifier is 1629576707, issued on Jan 24, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rochelle, IL. The record was last updated on Jan 24, 2018.