Individual
AMANDA LYNN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
3062 E 91ST ST, CHICAGO, IL 60617-4401
(773) 371-2900
(773) 371-2950
Mailing address
3062 E 91ST ST, CHICAGO, IL 60617-4401
(773) 371-2900
(773) 371-2950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178-008763
IL
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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