| Doctor Name: | DR. CELIA L STOLTZ |
| NPI Number: | 1114912318 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 15637 |
| Business Practice Address: | 110 Mooney Dr Suite #1 Bourbonnais, IL - 609142171 |
| Business Phone Number: | 8159337887 |
| Business Fax Number: | 8159337870 |
| Mailing Address: | 110 Mooney Dr, Suite #1 BOURBONNAIS |
| State: | IL |
| Postal Code: | 609142171 |
| Phone Number: | 8159337887 |
| Fax Number: | 8159337870 |
| NPI Enumeration Date: | 09/13/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/23/2006 |
| NPI Reactivation Date: | 04/11/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 15637 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |