Individual
AMANDA MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 S CORNELL AVE STE B, VILLA PARK, IL 60181-5717
(708) 845-9902
Mailing address
203 N BONNIE BRAE AVE, ELMHURST, IL 60126-2569
(708) 845-9902
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178015815
IL
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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