Provider Demographics
NPI:1417459710
Name:STEJSKAL, JOSEPH F III (LCPC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:F
Last Name:STEJSKAL
Suffix:III
Gender:M
Credentials:LCPC
Other - Prefix:MR
Other - First Name:JOE
Other - Middle Name:F
Other - Last Name:STEJSKAL
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:LCPC
Mailing Address - Street 1:811 W JOHN ST
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-9249
Mailing Address - Country:US
Mailing Address - Phone:630-553-9100
Mailing Address - Fax:630-553-0167
Practice Address - Street 1:811 W JOHN STREET
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560
Practice Address - Country:US
Practice Address - Phone:630-553-9100
Practice Address - Fax:630-553-0167
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-001775101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional