Stacey J Patla

NPI #1629576707 in Rochelle, Illinois

Provider Information

NPI Number
1629576707
Entity Type
Individual
Name
Stacey J Patla
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jan 24, 2018
Last Updated
Jan 24, 2018

Practice Location

Address
555 FAIRVIEW DR
ZIP Code
61068-2310
Phone
(815) 561-9003

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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