STACEY J. BEISEL, LCPC, P.C.
Mental Health at State Route 157, Edwardsville, IL

License number
Illinois 180.1004316
Category
Mental Health
Type
Mental Health
Owner
Name: STACEY J BEISEL MS
Title: LICENSED CLINICAL PROFESSIONAL COUN
Phone: (618) 580-5708
Address
Address
60 S State Route 157 SUITE 18, Edwardsville, IL 62025
National Provider ID: 1356648539
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STACEY J. BEISEL, LCPC, PC

Edwardsville, IL

Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Registration:
Nov 17, 2010
Addresses:
Edwardsville, IL 62025 (Physical)
7 157 Ctr, Edwardsville, IL 62025
State ID:
67587553
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Licensed Clinical Professional Coun, Principal, Psychologist:
Stacey J. Beisel (Licensed Clinical Professional Coun, Principal, Psychologist)
Agent:
Stacey J Beisel,219 2 Ave STE B, Edwardsville, IL 62025 (Physical)

Mental Health licenses in Illinois



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