| Doctor Name: | RENIE STOLLER-ZAK |
| NPI Number: | 1023407889 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC, NCC |
| License Number: | 178.008700 |
| Business Practice Address: | 1961 N Hicks Rd #209 Palatine, IL - 600742594 |
| Business Phone Number: | 8478261993 |
| Business Fax Number: | |
| Mailing Address: | 1961 N Hicks Rd, #209 PALATINE |
| State: | IL |
| Postal Code: | 600742594 |
| Phone Number: | 8478261993 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2015 |
| NPI Last Update Date: | 01/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 178.008700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |