SearchIllinois101YP2500X

Samantha Marcellis, LCPC

NPI 1265949630 · on the registry since 2018 · sole proprietor

Practice

Address
13707 W Jackson St
Woodstock, IL 60098
Phone
(815) 759-7048
Organisation at this address
Centegra Primary Care, Llc
Pioneer Center For Human Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois