Providence Counseling Associates, LLC
NPI #1861523680 in Naperville, Illinois
Provider Information
- NPI Number
- 1861523680
- Entity Type
- Organization
- Organization Name
- Providence Counseling Associates, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Mar 10, 2009
Practice Location
- Address
- 445 W JACKSON AVE STE 206
- City
- Naperville
- State
- Illinois
- ZIP Code
- 60540-5258
- Phone
- (630) 420-2596
Authorized Official
- Name
- DR. STEPHANIE JOY SPACKEY, PSY.D.
- Title
- MANAGING MEMBER
- Phone
- (630) 420-2596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Counselor - Professional — Professional |
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