Organization
AMANDA BENSON COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BENSON M.A. (LCPC)
(618) 830-8146
Entity
Organization
Contact information
Practice address
1161 FORTUNE BLVD STE 400, SHILOH, IL 62269-7385
(618) 830-8146
(618) 206-8476
Mailing address
912 MONTEREY DR, O FALLON, IL 62269-2833
(618) 830-8146
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008106
IL
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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