Stacey Cantrell's National Provider Identifier (NPI) Details
Stacey Cantrell, LPC
NPI: 1891202446
Enumeration Date: 2018-01-04
Last updated: 2018-06-16
Sole Proprietor: YES
Status: active
Postal Address: 5230 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL
Phone: 217-585-1180
Primary Practice Address: 5230 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL
Practice's phone: 217-585-1180