Diekmann, Stacy

Diekmann, Stacy is an individual health care provider with primary practice located at 1525 Locust St , Red Bud IL 62278-1374. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Diekmann, Stacy can be contacted via phone (618) 282-6251.

Contact Information

Primary practice address
1525 Locust St Red Bud IL 62278-1374
Phone: (618) 282-6251
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / School 103TS0200X 1836187 Illinois
Behavioral Health & Social Service Providers / School 103TS0200X 616587 Illinois

Profile Details

NPI number 1235657941
LBN Legal business name Diekmann, Stacy
Credentials SSP, NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2017
Last updated Sep 1st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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