| Stacey J. Beisel, Lcpc, P.c. | |
|
60 S State Route 157 Suite 18 Edwardsville IL 62025-3846 | |
| (618) 580-5708 | |
| Not Available |
| Full Name | Stacey J. Beisel, Lcpc, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 60 S State Route 157, Edwardsville, Illinois |
| Authorized Official Name and Position | Stacey J Beisel (LICENSED CLINICAL PROFESSIONAL COUN) |
| Authorized Official Contact | 6185805708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey J. Beisel, Lcpc, P.c. 60 S State Route 157 Suite 18 Edwardsville IL 62025-3846 Ph: (618) 580-5708 | Stacey J. Beisel, Lcpc, P.c. 60 S State Route 157 Suite 18 Edwardsville IL 62025-3846 Ph: (618) 580-5708 |
| NPI Number | 1356648539 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 01/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356648539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.1004316 (Illinois) | Primary |
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