Most Relevant Information
Provider Data
| NPI Number: | 1003342783 |
| Provider Name: | STACEY SAMANTHA SOLIMAN JUILFS LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2016040022 |
Most Important Dates
| Enumeration Date: | 05/02/2017 |
| Last Updated: | 06/04/2021 |
Provider Practice Location
639 YORK ST RM 212
QUINCY
IL
623013919
Practice Location Phone/Fax
| Phone: | 2172226271 |
| Fax: |
Provider Mailing Location
1601 OLD SOUTH RIVER RD
SAINT CHARLES
MO
633034120
Provider Mailing Phone/Fax
| Phone: | 6362241210 |
| Fax: | 6362461008 |