STACEY SEIBOLD

CHICAGO, IL
NPI1942742754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.020141)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: IL  150.101754)
Enumeration Date2016-11-09
Last Update Date2023-04-06
Business Address
STACEY SEIBOLD LCSW
1137 W MONROE ST UNIT 1
CHICAGO, IL 60607
Phone number: 847-496-3876
Mailing Address
STACEY SEIBOLD LCSW
917 W WASHINGTON BLVD # 251
CHICAGO, IL 60607-2203
Phone number: 847-496-3876