| Stacey Sanicki | |
|
5133 Washington St Ste 11 Downers Grove IL 60515-4795 | |
| (630) 398-1023 | |
| Not Available |
| Full Name | Stacey Sanicki |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5133 Washington St Ste 11, Downers Grove, Illinois |
| Authorized Official Name and Position | Stacey Sanicki (LCSW/OWNER) |
| Authorized Official Contact | 6303981023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Sanicki 5133 Washington St Ste 11 Downers Grove IL 60515-4795 Ph: (630) 398-1023 | Stacey Sanicki 5133 Washington St Ste 11 Downers Grove IL 60515-4795 Ph: (630) 398-1023 |
| NPI Number | 1043802663 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043802663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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