VIRGINIA M STACK

DOWNERS GROVE, IL
NPI1306954557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180-003337)
Enumeration Date2006-08-28
Last Update Date2014-03-14
Business Address
-- VIRGINIA M STACK M.S.; L.C.P.C.
1121 WARREN AVE SUITE 260
DOWNERS GROVE, IL 60515-3570
Phone number: 630-841-8705
Mailing Address
-- VIRGINIA M STACK M.S.; L.C.P.C.
290 SHADY BROOK LN
AURORA, IL 60504-2043
Phone number: 630-841-8705
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