Organization
LOTTIE BROGAN COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SHEPPARD LCPC (THERAPIST/SOLE OWNER)
(217) 369-3075
Entity
Organization
Contact information
Practice address
102 E LAFAYETTE ST, MONTICELLO, IL 61856-1954
(217) 369-3075
Mailing address
102 E LAFAYETTE ST, MONTICELLO, IL 61856-1954
(217) 369-3075
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180009734
IL
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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