| Stephanie Lynn Provis, | |
|
34 W Grand Ave Ste 101, Fox Lake, IL 60020-1224 | |
| (847) 322-2975 | |
| Not Available |
| Full Name | Stephanie Lynn Provis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 34 W Grand Ave Ste 101, Fox Lake, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114711165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Lynn Provis, 1307 W Lincoln Hwy Apt 3107, Dekalb, IL 60115-2932 Ph: (815) 901-7781 | Stephanie Lynn Provis, 34 W Grand Ave Ste 101, Fox Lake, IL 60020-1224 Ph: (847) 322-2975 |
Amber Nicole Shrum, LSW, CADC Counselor Medicare: Medicare Enrolled Practice Location: 34 W Grand Ave Unit 101, Fox Lake, IL 60020 Phone: 847-322-2975 | |
Elzbieta Wojnarowska, Counselor Medicare: Medicare Enrolled Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020 Phone: 847-322-2975 | |
Mr. Joshua Tyler Armstrong, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020 Phone: 815-762-7882 | |
Taylor Kaether, MS, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020 Phone: 847-322-2975 | |
Ms. Holly Kathleen Buchanan, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020 Phone: 847-322-2975 | |
David Torres, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 W Grand Ave, Fox Lake, IL 60020 Phone: 847-587-8400 Fax: 847-587-8407 |