Individual
AMANDA MCKEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
722 LOIS DR, SUN PRAIRIE, WI 53590-1100
(608) 755-5260
Mailing address
17 S RIVER ST STE 254, JANESVILLE, WI 53548-3863
(608) 755-5260
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4335
WI
101YP2500X
Professional Counselor
Primary
8638
WI
Other
Enumeration date
08/20/2019
Last updated
07/18/2022
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