Stadlman, Samantha

Stadlman, Samantha is an individual health care provider with primary practice located at 872 S Milwaukee Ave #273, Libertyville IL 60048-3227. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Stadlman, Samantha can be contacted via phone (847) 615-8696.

Contact Information

Primary practice address
872 S Milwaukee Ave #273 Libertyville IL 60048-3227
Phone: (847) 615-8696
Fax: (847) 615-8656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178011793 Illinois

Profile Details

NPI number 1952750507
LBN Legal business name Stadlman, Samantha
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2016
Last updated Jun 5th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952750507 NPPES
Illinois Other 1891028247 EQUESTRIAN CONNECTION

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