Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Stacy Renne Epps, CCDCCCJSCDPATCAD

Individual provider Counselor · NPI 1184103525

Mrs. Stacy Renne Epps, CCDCCCJSCDPATCAD is a Counselor in Chicago, Illinois. Licensed in Indiana. Registered with an NPI since 2018.

Licensed in
IN
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

10559 S Prospect Ave
Chicago, IL 60643-2923
Phone: (773) 339-5746
Fax: (773) 238-3278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 15175 (IN)
Counselor Taxonomy 101Y00000X · Licence 15175 (IN)

Record details

NPI number1184103525
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCDCCCJSCDPATCAD
Sole proprietorNo
NPI enumeratedAugust 7, 2018
Last updated in NPPESAugust 7, 2018

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