Individual
MRS. AMBER J MCGINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
306 N MARKET ST STE 104, MOUNT CARMEL, IL 62863-1519
(618) 240-6517
Mailing address
306 N MARKET ST STE 104, MOUNT CARMEL, IL 62863-1519
(618) 240-6517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.004673
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180.004673
ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION
IL
Enumeration date
06/14/2017
Last updated
07/21/2022
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