Individual
AMY L HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
2900 W HEADING AVE, WEST PEORIA, IL 61604-4868
(309) 636-7601
(309) 671-0253
Mailing address
131 W ALEXANDER ST, MORTON, IL 61550-1510
(309) 310-2613
(309) 671-0253
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008016
IL
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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